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FLORIDA SPINE AND BRAIN NPI 1700048170


NPI Information

NPI: 1700048170
Provider Name: FLORIDA SPINE AND BRAIN
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
20 BARKLEY CIR
SUITE 201
FORT MYERS, FL
ZIP 33907
Phone: (239) 275-6690
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FLORIDA SPINE AND BRAIN is a neurology psychiatry neurology in Fort Myers, 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. FLORIDA SPINE AND BRAIN NPI is 1700048170. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20 BARKLEY CIR
SUITE 201
FORT MYERS, FL
ZIP 33907-545
Phone: (239) 275-6690

The provider's authorized official is David B Sudderth .
The authorized official title is President and has the following contact phone number (239) 275-6690.

The enumeration date for this NPI number is 6/27/2008 and was last updated on 11/3/2010.


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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