Organization
ASTRA NEUROSURGICAL INSTITUTE, LLC
Active
Other names
Astra Neurosurgical Institute, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SONNIE DANIELS MBA (MANAGER)
(718) 360-7534
Entity
Organization
Contact information
Practice address
201 14TH ST SW, LARGO, FL 33770-3133
(718) 360-7534
(973) 718-3282
Mailing address
4919 W MELROSE AVE S, TAMPA, FL 33629-5419
(718) 360-7534
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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