| Pediatric Neurocare Institute Llc | |
|
170 Pine Ave N Oldsmar FL 34677-4629 | |
| (480) 652-2110 | |
| Not Available |
| Full Name | Pediatric Neurocare Institute Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 170 Pine Ave N, Oldsmar, Florida |
| Authorized Official Name and Position | Himali Jayakody (PEDIATRIC NEUROLOGIST/ CEO) |
| Authorized Official Contact | 4806522110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Neurocare Institute Llc 4030 Henderson Blvd Tampa FL 33629-4940 Ph: (480) 652-2110 | Pediatric Neurocare Institute Llc 170 Pine Ave N Oldsmar FL 34677-4629 Ph: (480) 652-2110 |
| NPI Number | 1467206524 |
|---|---|
| Provider Enumeration Date | 04/15/2024 |
| Last Update Date | 04/15/2024 |
| Certification Date | 04/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467206524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
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