Organization
FLORIDA CENTER FOR NEUROLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERASMO ANDRE PASSARO MD (PRESIDENT)
(727) 329-8833
Entity
Organization
Contact information
Practice address
1607 DR MARTIN LUTHER KING ST N, ST PETERSBURG, FL 33704-4226
(727) 329-8833
(727) 329-8840
Mailing address
1607 DR MARTIN LUTHER KING ST N, ST PETERSBURG, FL 33704-4226
(727) 329-8833
(727) 329-8840
Taxonomy
Speciality
Code
Description
License number
State
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
ME67462
FL
2084N0400X
Neurology Physician
Primary
ME67462
FL
2084N0600X
Clinical Neurophysiology Physician
ME67462
FL
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
ME67462
FL
Other
Enumeration date
01/13/2009
Last updated
06/27/2014
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