Organization · Type 2 NPI

Neurology PA

Specialist · Port Charlotte, FL

NPI number 1326074857 Active

Practice location

4161 Tamiami Trl, Suite 201
Port Charlotte, FL 33952-9208

Call (941) 764-0800 Map

Fax (941) 764-6494

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XOS5338 (FL)
Specialist 174400000XME85919 (FL)
Specialist 174400000XME99150 (FL)
Medical Physician Assistant 363AM0700XPA9101267 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1326074857

Neurology PA's National Provider Identifier is 1326074857, issued on Jun 25, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Charlotte, FL. The record was last updated on Feb 22, 2008.