Organization
PEDIATRIC NEUROLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUSARRAT N QURESHI M.D. (PRESIDENT)
(888) 362-2343
Entity
Organization
Contact information
Practice address
5133 SOUTH LAKELAND DRIVE, LAKELAND, FL 33813
(888) 362-2343
(888) 388-1340
Mailing address
5133 SOUTH LAKELAND DRIVE, LAKELAND, FL 33813
(888) 362-2343
(888) 388-1340
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME 87941
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267392400
—
FL
Enumeration date
12/18/2005
Last updated
06/17/2010
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