Organization
OPTIMA NEUROLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CHRIS SACKELLARES M.D. (CHIEF MEDICAL OFFICER)
(352) 375-5553
Entity
Organization
Contact information
Practice address
5318 SW 91ST TER, SUITE B, GAINESVILLE, FL 32608-8125
(352) 375-5553
(352) 505-5506
Mailing address
5318 SW 91ST TER, SUITE B, GAINESVILLE, FL 32608-8125
(352) 375-5553
(352) 505-5506
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME0072689
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373950300
—
FL
Enumeration date
05/22/2009
Last updated
05/22/2009
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