PUTNAM NEUROLOGY GROUP INC. NPI 1346647435

NPI Information

  • NPI: 1346647435
  • Provider Name: PUTNAM NEUROLOGY GROUP, INC.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 800 ZEAGLER DR
    SUITE #230
    PALATKA, FL
    ZIP 32177
  • Phone: (386) 385-3043

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NPI Details

PUTNAM NEUROLOGY GROUP, INC. is a specialist in Palatka, 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. PUTNAM NEUROLOGY GROUP, INC. NPI is 1346647435. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

800 ZEAGLER DR
SUITE #230
PALATKA, FL
ZIP 32177-883
Phone: (386) 385-3043
Fax: (386) 385-3187

The provider's authorized official is Fawzi Yousef Elsagga .
The authorized official title is President and has the following contact phone number (386) 385-3043.

The enumeration date for this NPI number is 12/4/2014 and was last updated on 12/4/2014.

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
1174400000XSpecialistME108923FLORIDAYes

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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