| Neurologic Care Center, P.a. | |
|
6101 Webb Rd Suite 210 Tampa FL 33615-2872 | |
| (813) 249-0922 | |
| Not Available |
| Full Name | Neurologic Care Center, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6101 Webb Rd, Tampa, Florida |
| Authorized Official Name and Position | Denise Griffin (PRESIDENT) |
| Authorized Official Contact | 8132490922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurologic Care Center, P.a. 6101 Webb Rd Suite 210 Tampa FL 33615-2872 Ph: (813) 249-0922 | Neurologic Care Center, P.a. 6101 Webb Rd Suite 210 Tampa FL 33615-2872 Ph: (813) 249-0922 |
| NPI Number | 1831304567 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/02/2010 |
| Medicare PECOS PAC ID | 7416141635 |
|---|---|
| Medicare Enrollment ID | O20101102000492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831304567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Mary Ellen Shriver |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316999519 PECOS PAC ID: 1850586926 Enrollment ID: I20101115000770 |
| Provider Name | Denise K Griffin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780638577 PECOS PAC ID: 8325232549 Enrollment ID: I20101115000796 |
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