| Virtual Neurology, LLC | |
|
11215 Metro Pkway Bldg. 3, Ste 1 Fort Myers FL 33966 | |
| (392) 082-2122 | |
| (239) 208-3994 |
| Full Name | Virtual Neurology, LLC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11215 Metro Pkway, Fort Myers, Florida |
| Authorized Official Name and Position | Daryoush Zafar (MANAGING PARTNER) |
| Authorized Official Contact | 2392082206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virtual Neurology, LLC 11215 Metro Pkwy Bldg. 3, Ste 1 Fort Myers FL 33966 Ph: (239) 208-2212 | Virtual Neurology, LLC 11215 Metro Pkway Bldg. 3, Ste 1 Fort Myers FL 33966 Ph: (392) 082-2122 |
| NPI Number | 1760940167 |
|---|---|
| Provider Enumeration Date | 03/05/2019 |
| Last Update Date | 12/02/2024 |
| Certification Date | 12/02/2024 |
| Medicare PECOS PAC ID | 9830425321 |
|---|---|
| Medicare Enrollment ID | O20190722001227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760940167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | () | Primary |
| Provider Name | Jason P Stabley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992713234 PECOS PAC ID: 8022904036 Enrollment ID: I20040226000224 |
| Provider Name | Richard Newman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831199850 PECOS PAC ID: 2365415957 Enrollment ID: I20051228000274 |
| Provider Name | Nima Mowzoon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992774327 PECOS PAC ID: 1254358401 Enrollment ID: I20070829000401 |
| Provider Name | Adam L Heller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710183041 PECOS PAC ID: 5991879793 Enrollment ID: I20080728000422 |
| Provider Name | Amanda J Avila |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184841397 PECOS PAC ID: 9830345735 Enrollment ID: I20120808000809 |
| Provider Name | Julio Ventura |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164659546 PECOS PAC ID: 2163662495 Enrollment ID: I20130723000638 |
| Provider Name | Alberto R Figueroa-garcia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912167594 PECOS PAC ID: 3072754175 Enrollment ID: I20130801000616 |
| Provider Name | Yelena G Vidgop |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336300771 PECOS PAC ID: 0941444095 Enrollment ID: I20130911000807 |
| Provider Name | Lenay Santana |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124215538 PECOS PAC ID: 5496944530 Enrollment ID: I20140328001695 |
| Provider Name | Stefanie Jean-baptiste Berry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144453796 PECOS PAC ID: 0345419719 Enrollment ID: I20151102000652 |
| Provider Name | Neetu Dhadwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962842492 PECOS PAC ID: 4183852270 Enrollment ID: I20160328002031 |
| Provider Name | Nisha Pradeep |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831578392 PECOS PAC ID: 5395050520 Enrollment ID: I20190708000784 |
| Provider Name | Birenkumar Rajandrakumar Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679900062 PECOS PAC ID: 0547533788 Enrollment ID: I20191028001092 |
| Provider Name | Murtaza Amir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508971920 PECOS PAC ID: 4688602915 Enrollment ID: I20191217003135 |
| Provider Name | Ryan Mizell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922426907 PECOS PAC ID: 3375858780 Enrollment ID: I20200629002199 |
| Provider Name | Arielle Vonstrolley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134579006 PECOS PAC ID: 1456647486 Enrollment ID: I20200826001409 |
| Provider Name | Georgy Cherkassky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760827778 PECOS PAC ID: 7416197702 Enrollment ID: I20201202001221 |
| Provider Name | David K Epstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649256223 PECOS PAC ID: 5597926857 Enrollment ID: I20210215000271 |
| Provider Name | Vaniolky Losada Leon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043690423 PECOS PAC ID: 5991068975 Enrollment ID: I20210709002064 |
| Provider Name | Colby Allen Richardson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558724799 PECOS PAC ID: 2567866973 Enrollment ID: I20210806002491 |
| Provider Name | Sheyar Wala Amin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720511769 PECOS PAC ID: 7517357783 Enrollment ID: I20211201002465 |
| Provider Name | Justin T De'prey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356872063 PECOS PAC ID: 3274806674 Enrollment ID: I20220621003409 |
| Provider Name | Charlene L Gunasekera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891292538 PECOS PAC ID: 1850648015 Enrollment ID: I20220721002894 |
| Provider Name | Kyle William Binder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841635422 PECOS PAC ID: 8325479116 Enrollment ID: I20230123000057 |
| Provider Name | Ellie Frazey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003472366 PECOS PAC ID: 2567820848 Enrollment ID: I20230717002476 |
| Provider Name | Jacob Arthur Sambursky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619436474 PECOS PAC ID: 2365806262 Enrollment ID: I20231019000795 |
| Provider Name | Gustavo Silva |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023424306 PECOS PAC ID: 1052637907 Enrollment ID: I20240202000081 |
| Provider Name | Keerthana Akkineni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275928715 PECOS PAC ID: 9133542806 Enrollment ID: I20250304002906 |
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