Organization
NUEROSCIENCE ASSOCIATES OF WEST PASCO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA WHITTINGTON (OFFICE MANAGER)
(727) 942-6511
Entity
Organization
Contact information
Practice address
2222 US HIGHWAY 19, HOLIDAY, FL 34691-2635
(727) 942-6511
(727) 942-3312
Mailing address
2222 US HIGHWAY 19, HOLIDAY, FL 34691-2635
(727) 942-6511
(727) 942-3312
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38930
BLUE CROSS BLUE SHIELD
FL
01
—
6162275
AETNA ENVOY
FL
Enumeration date
05/05/2006
Last updated
08/22/2020
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