Organization
ADVANCED NEUROLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE L CARRAU LEBRON MD (SOLE MEMBER)
(504) 400-2061
Entity
Organization
Contact information
Practice address
1804 OAKLEY SEAVER DR, SUITE C, CLERMONT, FL 34711-1925
(407) 255-8488
(407) 255-8487
Mailing address
PO BOX 784986, WINTER GARDEN, FL 34778-4986
(407) 255-8488
(407) 255-8487
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
02/08/2013
Last updated
04/08/2014
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