Organization
NEURODIAGNOSTICS OF STUART,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE R TOLEDO M.D. (PRESIDENT)
(772) 223-5345
Entity
Organization
Contact information
Practice address
827 EAST 5TH STREET, STUART, FL 34994
(772) 223-5345
(772) 223-0960
Mailing address
827 SE 5TH ST, STUART, FL 34994-2401
(772) 223-5345
(772) 223-0960
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME0060437
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055716100
—
FL
Enumeration date
07/26/2006
Last updated
06/10/2010
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