Organization
NEUROLOGY CLINICS & RESEARCH CENTER PA
Active
Organization
NEUROLOGY CLINICS & RESEARCH CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESHAN KIBRIA D.O. (PHYSICIAN/OWNER)
(239) 353-1555
Entity
Organization
Contact information
Practice address
5475 GOLDEN GATE PKWY STE 4, NAPLES, FL 34116-7529
(239) 353-1555
(239) 353-7001
Mailing address
5475 GOLDEN GATE PKWY STE 4, NAPLES, FL 34116-7529
(239) 353-1555
(239) 353-7001
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0S0006026
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82883
BLUE CROSS
FL
Enumeration date
05/03/2008
Last updated
02/03/2016
Update your record
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