Organization
AMERICAN NEUROLOGICAL SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY T TRAVIESA (CEO)
(813) 857-5630
Entity
Organization
Contact information
Practice address
6918 GUNN HWY, SUITE E, TAMPA, FL 33625-3853
(813) 857-5630
Mailing address
6918 GUNN HWY, SUITE E, TAMPA, FL 33625-3853
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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