Organization
TAMPA BAY NEUROLOGY AND SLEEP MEDICINE, LLC
Active
Organization
TAMPA BAY NEUROLOGY AND SLEEP MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARUN RAJAN (OWNER)
(508) 993-9760
Entity
Organization
Contact information
Practice address
110 S MACDILL AVE, TAMPA, FL 33609-3129
(813) 564-0140
(813) 296-2010
Mailing address
110 S MACDILL AVE, TAMPA, FL 33609-3129
(813) 564-0140
(813) 296-2010
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
Other
Enumeration date
12/03/2019
Last updated
12/20/2019
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