# NEO MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NEO Surgical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396464038
- **Authorized official:** MR. OLEG KOVALENKO (MANAGER)
- **Authorized official phone:** (833) 863-6633

## Contact information

- **Practice address:** 12468 BRANTLEY COMMONS CT, FORT MYERS, FL 33907-5663
- **Practice address phone:** (833) 863-6633
- **Mailing address:** 12468 BRANTLEY COMMONS CT, FORT MYERS, FL 33907-5663
- **Mailing address phone:** (833) 863-6633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207T00000X | Neurological Surgery Physician | — | NULL | — |
| 207T00000X | Neurological Surgery Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/25/2022
- **Last updated:** 08/25/2022