Organization
NEURODX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN NELSON PEGUERO M.D. (PHYSICIAN)
(813) 443-6957
Entity
Organization
Contact information
Practice address
4714 N ARMENIA AVE, SUITE 202, TAMPA, FL 33603-2603
(813) 443-6957
(813) 443-4891
Mailing address
4714 N ARMENIA AVE, SUITE 202, TAMPA, FL 33603-2603
(813) 443-6957
(813) 443-4891
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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