Organization · Type 2 NPI

Capernaum Medical Center

Clinical Neurophysiology Physician · Lakeland, FL

NPI number 1134675317 Active

Practice location

5129 S Lakeland Dr, Unit 1 And 2
Lakeland, FL 33813-2598

Mailing address

PO Box 95448
Lakeland, FL 33804-5448

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nephrology Physician 2080P0210XNone listed
Clinical Neurophysiology Physician Primary 2084N0600XNone listed

Clinical Neurophysiology Physician: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).

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About NPI 1134675317

Capernaum Medical Center's National Provider Identifier is 1134675317, issued on Aug 29, 2016. The primary taxonomy on file is Clinical Neurophysiology Physician (2084N0600X), and the practice location is in Lakeland, FL. The record was last updated on Aug 29, 2016.