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Organization
NEUROTECH INC
Active
Organization
NEUROTECH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES W LASKEY (FINANCIAL OPERATOR)
(904) 269-0500
Entity
Organization
Contact information
Practice address
930 KINGSLEY AVE, ORANGE PARK, FL 32073
(904) 269-0500
(904) 269-9805
Mailing address
930 KINGSLEY AVE, ORANGE PARK, FL 32073
(904) 269-0500
(904) 269-9805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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