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NEUROLOGY ASSOCIATES OF STARKE INC NPI 1154689289


NPI Information

NPI: 1154689289
Provider Name: NEUROLOGY ASSOCIATES OF STARKE INC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 10D2229457

Address:
107 EDWARDS RD
SUITE F
STARKE, FL
ZIP 32091
Phone: (904) 368-8111
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NEUROLOGY ASSOCIATES OF STARKE INC is a neurology psychiatry neurology in Starke, FL. The provider is 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. NEUROLOGY ASSOCIATES OF STARKE INC NPI is 1154689289. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

107 EDWARDS RD
SUITE F
STARKE, FL
ZIP 32091-959
Phone: (904) 368-8111
Fax: (904) 368-8103

The provider's authorized official is John Decerce .
The authorized official title is Owner and has the following contact phone number (904) 368-8111.

The CLIA number assigned to this NPI record is 10D2229457 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2012 and was last updated on 4/26/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyME68599FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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