Organization
NEUROTEK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE S GUTHRIE (PRESIDENT)
(904) 281-1066
Entity
Organization
Contact information
Practice address
1202 KINGSLEY AVE, ORANGE PARK, FL 32073-4632
(904) 281-1066
Mailing address
PO BOX 17809, JACKSONVILLE, FL 32245-7809
(904) 723-5665
(904) 338-0951
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME59449
FL
Other
Enumeration date
03/03/2014
Last updated
03/19/2014
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