| S A Neurology Llc | |
|
7376 Stonerock Cir Orlando FL 32819-8000 | |
| (407) 226-9766 | |
| (407) 226-9834 |
| Full Name | S A Neurology Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7376 Stonerock Cir, Orlando, Florida |
| Authorized Official Name and Position | Azra Ullah (OFFICE MANAGER) |
| Authorized Official Contact | 4072269766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S A Neurology Llc 11336 Bridge House Rd Windermere FL 34786-5405 Ph: (407) 876-8243 | S A Neurology Llc 7376 Stonerock Cir Orlando FL 32819-8000 Ph: (407) 226-9766 |
| NPI Number | 1023089067 |
|---|---|
| Provider Enumeration Date | 01/28/2006 |
| Last Update Date | 12/04/2013 |
| Medicare PECOS PAC ID | 8022063270 |
|---|---|
| Medicare Enrollment ID | O20050321000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023089067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME71135 (Florida) | Primary |
| Provider Name | Saif Ullah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104043652 PECOS PAC ID: 7214901040 Enrollment ID: I20040825001494 |
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