# NEUROCOG TESTING INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356773162
- **Authorized official:** MR. STANLEY R ORR (OWNER)
- **Authorized official phone:** (813) 679-1438

## Contact information

- **Practice address:** 2700 WEST MLK JR. BLVD SUITE 250, TAMPA, FL 33607
- **Practice address phone:** (813) 874-0750
- **Mailing address:** 12101 SAN CHALIFORD COURT, TAMPA, FL 33626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/02/2013
- **Last updated:** 08/02/2013