Organization
PEDIATRIC NEUROLOGY OF SW FL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGIE MORALES M.D. (PRESIDENT)
(239) 433-9383
Entity
Organization
Contact information
Practice address
15740 NEW HAMPSHIRE CT, SUITE B, FORT MYERS, FL 33908-4173
(239) 433-9383
(239) 433-9356
Mailing address
15880 SUMMERLIN RD, SUITE 300 PMB 178, FORT MYERS, FL 33908-9612
(239) 433-9383
(239) 433-9356
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME51721
FL
Other
Enumeration date
04/10/2007
Last updated
02/23/2008
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