Organization
CLINICAL NEUROPHYSIOLOGY OF FLORIDA LLC
Active
Parent organization
INSTITUTE OF PEDIATRIC NEUROSCIENCES
Organization subpart
Yes
Provider details
NPI number
Legal business name
INSTITUTE OF PEDIATRIC NEUROSCIENCES
Authorized official
EDGARD O ANDRADE MD (PRESIDENT)
(352) 260-7346
Entity
Organization
Contact information
Practice address
1315 SE 25TH LOOP, UNIT 104, OCALA, FL 34471-1030
(352) 260-7343
Mailing address
1315 SE 25TH LOOP, UNIT 104, OCALA, FL 34471-1030
(352) 260-7343
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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