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Organization

FLORIDA NEUROLOGICAL CENTER LLC

Active
Parent organization
FLORIDA NEUROLOGICAL CENTER LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
FLORIDA NEUROLOGICAL CENTER LLC
Authorized official
DR. LANCE Y KIM D.O. (PRESIDENT)
(352) 867-9877
Entity
Organization

Contact information

Practice address
2237 SW 19TH AVENUE RD, SUITE 101, OCALA, FL 34471-7751
(352) 867-9877
(352) 867-1040
Mailing address
2237 SW 19TH AVE RD, SUITE 101, OCALA, FL 34471-6505
(352) 867-9877
(352) 867-1040

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OS7448
FL

Other

Enumeration date
12/20/2007
Last updated
01/25/2011
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