Organization
NEUROLOGY CENTER OF EXCELLENCE, PLLC
Active
Organization
NEUROLOGY CENTER OF EXCELLENCE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN CARRIER (BILLING MANAGER)
(352) 750-6387
Entity
Organization
Contact information
Practice address
837 S MAIN ST, WILDWOOD, FL 34785-5302
(352) 750-6387
(352) 753-7141
Mailing address
837 S MAIN ST, WILDWOOD, FL 34785-5302
(352) 750-6387
(352) 753-7141
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Enumeration date
04/05/2011
Last updated
08/27/2019
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