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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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