Organization
NEURO IOM SERVICES INC
Active
Organization
NEURO IOM SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JOHNSON (COO)
(410) 666-2588
Entity
Organization
Contact information
Practice address
1926 10TH AVE N, SUITE 105, LAKE WORTH, FL 33461-3369
(561) 540-4458
(561) 540-5939
Mailing address
11011 MCCORMICK RD., SUITE 200, HUNT VALLEY, MD 21031-8619
(410) 666-2588
(443) 403-0207
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME0044967
FL
Other
Enumeration date
12/20/2006
Last updated
07/17/2014
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