Organization
NEUROLOGY SPECIALISTS, PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK X NORLEANS (ADMINISTRATOR)
(239) 590-9190
Entity
Organization
Contact information
Practice address
9730 COMMERCE CENTER CT, FORT MYERS, FL 33908-3615
(239) 590-9190
(239) 989-0166
Mailing address
9730 COMMERCE CENTER CT, FORT MYERS, FL 33908-3615
(239) 590-9190
(239) 989-0166
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME87954
LICENSE
FL
01
—
P00162627
RAILROAD MEDICARE
FL
Enumeration date
12/18/2006
Last updated
09/16/2012
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