NEUROLOGY PA NPI 1326074857

NPI Information

  • NPI: 1326074857
  • Provider Name: NEUROLOGY PA
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 10D0993174
  • Address: 4161 TAMIAMI TRL
    SUITE 201
    PORT CHARLOTTE, FL
    ZIP 33952
  • Phone: (941) 764-0800

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NPI Details

NEUROLOGY PA is a specialist in Port Charlotte, FL. The provider is 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. NEUROLOGY PA NPI is 1326074857. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4161 TAMIAMI TRL
SUITE 201
PORT CHARLOTTE, FL
ZIP 33952-208
Phone: (941) 764-0800
Fax: (941) 764-6494

The provider's authorized official is William A Holt .
The authorized official title is President and has the following contact phone number (941) 764-0800.

The CLIA number assigned to this NPI record is 10D0993174 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 2/22/2008.

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
1174400000XSpecialistME85919FLORIDANo
2174400000XSpecialistME99150FLORIDANo
3363AM0700XPhysician AssistantMedicalPA9101267FLORIDANo
4174400000XSpecialistOS5338FLORIDAYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K3473MEDICARE PINFLORIDA
2CK2663OTHERFLORIDARAILROAD MEDICARE
3262779500MEDICAIDFLORIDA

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: 11/21/2025

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