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Neurology Pa
Medical Physician Assistant in Port Charlotte, Florida
NPI 1326074857

Neurology Pa is a Medical Physician Assistant based in Port Charlotte, FL and is specialized in Medical. Neurology Pa practices in Port Charlotte, FL. The NPI Number for Neurology Pa is 1326074857 and holds a License No. OS5338 (Florida).

The current practice location address for Neurology Pa is 4161 Tamiami Trl, Port Charlotte, FL and can be reached out via phone at 941-764-0800 and via fax at 941-764-6494.

Location: 4161 Tamiami Trl, Port Charlotte, FL, 33952-9208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326074857
Provider Name
Neurology Pa
Credential
Provider Entity Type
Organization
Address
4161 Tamiami Trl, Port Charlotte, FL, 33952-9208
Phone Number
941-764-0800
Fax Number
941-764-6494
Provider Enumeration Date
06/25/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
CK2663 01 FL RAILROAD MEDICARE
262779500 05 FL
institution
Provider Business Practice Location Address Details
Address
4161 Tamiami Trl
City
Port Charlotte
State
Florida
Zip
33952-9208
Phone Number
941-764-0800
Fax Number
941-764-6494
person
Provider Business Mailing Address Details
Address
4161 Tamiami Trl
City
Port Charlotte
State
Florida
Zip
33952-9208
Phone Number
941-764-0800
Fax Number
941-764-6494
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME85919 (Florida)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
OS5338 (Florida)
Definition
Definition to come...
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