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PEDIATRIC NEUROLOGY OF SW FL PA NPI 1770606956


NPI Profile

NPI: 1770606956
Provider Name: PEDIATRIC NEUROLOGY OF SW FL, PA
Classification:Pediatrics - 208000000X
Entity Type: Organization
Address:
15740 NEW HAMPSHIRE CT
SUITE B
FORT MYERS, FL
ZIP 33908
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Phone: (239) 433-9383

PEDIATRIC NEUROLOGY OF SW FL, PA is a pediatrics in Fort Myers, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PEDIATRIC NEUROLOGY OF SW FL, PA NPI is 1770606956. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15740 NEW HAMPSHIRE CT
SUITE B
FORT MYERS, FL
ZIP 33908-173
Phone: (239) 433-9383
Fax: (239) 433-9356

The provider's authorized official is Margie Morales .
The authorized official title is President and has the following contact phone number (239) 433-9383.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 2/23/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsME51721FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F77902MEDICARE UPINFLORIDA

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: 6/14/2021

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