Organization
NEUROLOGICAL SERVICES OF ORLANDO PA
Active
Organization
NEUROLOGICAL SERVICES OF ORLANDO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JAIME AMARO (OFFICE MANAGER)
(407) 240-1762
Entity
Organization
Contact information
Practice address
3849 OAKWATER CIRCLE, ORLANDO, FL 32806-6264
(407) 240-1762
(407) 812-5869
Mailing address
PO BOX 568305, ORLANDO, FL 32856-8305
(407) 240-1762
(407) 812-5869
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38645
BLUECROSS BLUESHIELD
FL
Enumeration date
11/16/2005
Last updated
11/13/2023
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