Organization
PUTNAM NEUROLOGY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAWZI YOUSEF ELSAGGA M.D. (PRESIDENT)
(386) 385-3043
Entity
Organization
Contact information
Practice address
800 ZEAGLER DR, SUITE #230, PALATKA, FL 32177-3883
(386) 385-3043
(386) 385-3187
Mailing address
800 ZEAGLER DR, SUITE #230, PALATKA, FL 32177-3883
(386) 385-3043
(386) 385-3187
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME108923
FL
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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