Organization
SEMINOLE NEUROLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BHUPINDER SINGH MANGAT MD (PRESIDENT)
(407) 324-5500
Entity
Organization
Contact information
Practice address
1403 MEDICAL PLAZA DR, SUITE 204, SANFORD, FL 32771-1000
(407) 324-5500
(407) 324-5584
Mailing address
1403 MEDICAL PLAZA DR, SUITE 204, SANFORD, FL 32771-1000
(407) 324-5500
(407) 324-5584
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME34679
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371305900
—
FL
Enumeration date
03/04/2009
Last updated
05/07/2010
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