Organization
FLORIDA NEUROLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOREEN SHINN (CFO)
(609) 380-3305
Entity
Organization
Contact information
Practice address
100 S ASHLEY DR STE 600-101, TAMPA, FL 33602-5304
(609) 380-3305
Mailing address
100 S ASHLEY DR STE 600-101, TAMPA, FL 33602-5304
(609) 380-3305
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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