Organization
NEUROCOG TESTING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STANLEY R ORR (OWNER)
(813) 679-1438
Entity
Organization
Contact information
Practice address
2700 WEST MLK JR. BLVD SUITE 250, TAMPA, FL 33607
(813) 874-0750
Mailing address
12101 SAN CHALIFORD COURT, TAMPA, FL 33626
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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