Organization
THE NEUROHEALTH SCIENCES CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MARK RODKEY (VP)
(850) 523-2117
Entity
Organization
Contact information
Practice address
200 N MANGOUSTINE AVE, SANFORD, FL 32771-1017
(407) 833-7505
(407) 833-7509
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 372-5426
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000741900
—
FL
01
—
72904
BCBS OF FL
FL
01
—
DF4630
RR MEDICARE
FL
01
—
Q0367A
CHARLOTTE NEUROHEALTH ( ARCADIA)
FL
Enumeration date
06/01/2006
Last updated
01/16/2018
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