| Neurodx Llc | |
|
4714 N Armenia Ave Suite 202 Tampa FL 33603-2603 | |
| (813) 443-6957 | |
| (813) 443-4891 |
| Full Name | Neurodx Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 4714 N Armenia Ave, Tampa, Florida |
| Authorized Official Name and Position | Edwin Nelson Peguero (PHYSICIAN) |
| Authorized Official Contact | 8134436957 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurodx Llc 4714 N Armenia Ave Suite 202 Tampa FL 33603-2603 Ph: (813) 443-6957 | Neurodx Llc 4714 N Armenia Ave Suite 202 Tampa FL 33603-2603 Ph: (813) 443-6957 |
| NPI Number | 1104271014 |
|---|---|
| Provider Enumeration Date | 04/28/2016 |
| Last Update Date | 04/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104271014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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