Organization
SENTINEL NEURO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN EDWARD ROSSS III CNIM (PRESIDENT)
(813) 205-3139
Entity
Organization
Contact information
Practice address
9615 RAIDEN LN, RIVERVIEW, FL 33569-5662
(813) 205-3139
Mailing address
9615 RAIDEN LN, RIVERVIEW, FL 33569-5662
(813) 205-3139
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
12/03/2024
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