Organization
TAVERNIER NEUROLOGICAL CENTER, INC.
Active
Organization
TAVERNIER NEUROLOGICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICARDO SOLTERO (SECRETARY - TREASURER)
(305) 853-0415
Entity
Organization
Contact information
Practice address
91550 OVERSEAS HWY, MEDICAL ARTS BUILDING SUITE 115, TAVERNIER, FL 33070-2506
(305) 853-0415
(305) 853-1708
Mailing address
PO BOX 460, TAVERNIER, FL 33070-0460
(305) 853-0415
(305) 853-1708
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME 84115
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263830400
—
FL
Enumeration date
12/05/2006
Last updated
12/16/2013
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