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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