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MAGIC MEDICAL SPECIALTIES CORP NPI 1588282776


NPI Information

NPI: 1588282776
Provider Name: MAGIC MEDICAL SPECIALTIES CORP
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
9421 S ORANGE BLOSSOM TRL # 19
ORLANDO, FL
ZIP 32837
Phone: (407) 601-2527
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MAGIC MEDICAL SPECIALTIES CORP is a neurology psychiatry neurology in Orlando, 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. MAGIC MEDICAL SPECIALTIES CORP NPI is 1588282776. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9421 S ORANGE BLOSSOM TRL # 19
ORLANDO, FL
ZIP 32837-320
Phone: (407) 601-2527
Fax: (407) 674-7640

The provider's authorized official is Larry De Jesus .
The authorized official title is Owner and has the following contact phone number (786) 518-1911.

The enumeration date for this NPI number is 7/14/2020 and was last updated on 7/14/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyYes

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: 11/14/2023

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