Organization
FLORIDA CENTER FOR NEUROLOGY, INC
Active
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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