Organization
MEDICAL NEURODIAGNOSTICS & NEUROLOGY PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON BAUGH PA (PRESIDENT)
(904) 723-5665
Entity
Organization
Contact information
Practice address
1536 KINGSLEY AVE STE 116, ORANGE PARK, FL 32073-4525
(904) 723-5665
(904) 338-0951
Mailing address
PO BOX 17809, JACKSONVILLE, FL 32245-7809
(904) 723-5665
(904) 338-0951
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PA9101871
FL
Other
Enumeration date
03/15/2010
Last updated
07/22/2010
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