OPTIMA NEUROLOGICAL SERVICES NPI 1194950949

NPI Information

OPTIMA NEUROLOGICAL SERVICES is a medical specialty clinic center in Gainesville, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). OPTIMA NEUROLOGICAL SERVICES NPI is 1194950949. The provider is registered as an organization entity type.

The provider's business location address is:

5318 SW 91ST TER
SUITE B
GAINESVILLE, FL
ZIP 32608-125
Phone: (352) 375-5553
Fax: (352) 505-5506

The provider's authorized official is James Chris Sackellares .
The authorized official title is Chief Medical Officer and has the following contact phone number (352) 375-5553.

The enumeration date for this NPI number is 5/22/2009 and was last updated on 5/22/2009.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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