10D1084180 CLIA NUMBER - NEUROSCIENCE & SPINE ASSOCIATES

Laboratory Demographics

CLIA Number: 10D1084180

Facility Name: NEUROSCIENCE & SPINE ASSOCIATES

Facility Address:
8380 RIVERWALK PARK BLVD #320
FORT MYERS, FL
ZIP 33919
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Facility Phone Number: 239 437-1121

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1750684361

Taxonomy: 2084N0400X - Psychiatry & Neurology
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

CLIA Record

Field Name	Field Value
CLIA Number	10D1084180
LAB Type	Physician Office
Facility Name	NEUROSCIENCE & SPINE ASSOCIATES
Street	8380 RIVERWALK PARK BLVD #320
City	FORT MYERS
State	FL
ZIP	33919
Phone	239 437-1121
CertificateType	4
CertificateEffectiveDate	5/19/2022
CertificateExpirationDate	5/18/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024