| Neurology & Neurodiagnostics Llc | |
|
1355 S International Pkwy Suite 2451 Lake Mary FL 32746-1694 | |
| (407) 250-3290 | |
| (407) 250-2922 |
| Full Name | Neurology & Neurodiagnostics Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1355 S International Pkwy, Lake Mary, Florida |
| Authorized Official Name and Position | Maria Desiree Diaz Calderon (ADMINISTRATOR) |
| Authorized Official Contact | 4072503290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology & Neurodiagnostics Llc Po Box 951316 Lake Mary FL 32795-1316 Ph: () - | Neurology & Neurodiagnostics Llc 1355 S International Pkwy Suite 2451 Lake Mary FL 32746-1694 Ph: (407) 250-3290 |
| NPI Number | 1760882617 |
|---|---|
| Provider Enumeration Date | 08/28/2014 |
| Last Update Date | 08/29/2025 |
| Certification Date | 08/29/2025 |
| Medicare PECOS PAC ID | 6103047295 |
|---|---|
| Medicare Enrollment ID | O20141014001014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760882617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME109269 (Florida) | Primary |
| Provider Name | Juan Ros Escalante |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104909647 PECOS PAC ID: 4587836242 Enrollment ID: I20111003000158 |
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