Organization
CHILDHOOD NEUROSURGERY & CENTER FOR HYDROCEPHALUS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOGI V PATTISAPU MD (BOARD OF DIRECTORS)
(407) 649-7686
Entity
Organization
Contact information
Practice address
58 W MICHIGAN ST, ORLANDO, FL 32806-4453
(407) 649-7686
Mailing address
58 W MICHIGAN ST, ORLANDO, FL 32806-4453
(407) 649-7686
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
12/21/2007
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