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Organization
NEO MEDICAL CENTER LLC
Active
Organization
NEO MEDICAL CENTER LLC
Active
Other names
NEO Surgical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLEG KOVALENKO (MANAGER)
(833) 863-6633
Entity
Organization
Contact information
Practice address
12468 BRANTLEY COMMONS CT, FORT MYERS, FL 33907-5663
(833) 863-6633
Mailing address
12468 BRANTLEY COMMONS CT, FORT MYERS, FL 33907-5663
(833) 863-6633
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
NULL
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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