| Smirnoff Neurology Pa | |
|
729 Cr 466 Lady Lake FL 32159 | |
| (352) 633-2164 | |
| (352) 205-8149 |
| Full Name | Smirnoff Neurology Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 729 Cr 466, Lady Lake, Florida |
| Authorized Official Name and Position | Alexander H Smirnoff (PRESIDENT/OWNER) |
| Authorized Official Contact | 3526332164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smirnoff Neurology Pa 1576 Bella Cruz Dr Pmb 413 The Villages FL 32159-8969 Ph: (352) 633-2164 | Smirnoff Neurology Pa 729 Cr 466 Lady Lake FL 32159 Ph: (352) 633-2164 |
| NPI Number | 1700077732 |
|---|---|
| Provider Enumeration Date | 08/06/2007 |
| Last Update Date | 06/17/2015 |
| Medicare PECOS PAC ID | 2365537941 |
|---|---|
| Medicare Enrollment ID | O20100624000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700077732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME106236 (Florida) | Primary |
| Provider Name | Alexander Smirnoff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518053024 PECOS PAC ID: 9931092301 Enrollment ID: I20100624000207 |
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