Organization
NEO MEDICAL CENTER LLC
Active
Other names
NEO Surgical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLEG KOVALENKO (MANAGER)
(833) 863-6633
Entity
Organization
Contact information
Practice address
12468 BRANTLEY COMMONS CT, FORT MYERS, FL 33907-5663
(833) 863-6633
Mailing address
12468 BRANTLEY COMMONS CT, FORT MYERS, FL 33907-5663
(833) 863-6633
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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