Organization
DIANA ESTORINO
Active
Other names
Expert Neurotechs
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA ESTORINO B.A., R.NCST, R.EEG/ (OWNER)
(727) 520-1500
Entity
Organization
Contact information
Practice address
5800 49TH ST N, SUITE 202, ST PETERSBURG, FL 33709-2146
(727) 520-1500
(727) 520-1588
Mailing address
PO BOX 20072, TAMPA, FL 33622-0072
(727) 520-1500
(727) 520-1588
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V2196
BLUE CROSS
FL
Enumeration date
08/25/2006
Last updated
09/06/2011
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