| Suncoast Pediatric Epilepsy And Neuropsychology Specialists | |
|
833 Cypress Village Blvd Ruskin FL 33573-6822 | |
| (813) 633-6000 | |
| Not Available |
| Full Name | Suncoast Pediatric Epilepsy And Neuropsychology Specialists |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 833 Cypress Village Blvd, Ruskin, Florida |
| Authorized Official Name and Position | Yolanda Leon (OWNER) |
| Authorized Official Contact | 8136336000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suncoast Pediatric Epilepsy And Neuropsychology Specialists 833 Cypress Village Blvd Ruskin FL 33573-6822 Ph: (813) 633-6000 | Suncoast Pediatric Epilepsy And Neuropsychology Specialists 833 Cypress Village Blvd Ruskin FL 33573-6822 Ph: (813) 633-6000 |
| NPI Number | 1063743896 |
|---|---|
| Provider Enumeration Date | 01/19/2010 |
| Last Update Date | 01/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063743896 | NPI | - | NPPES |
| BH036Z | Other | FL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY5685 (Florida) | Primary |
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