Organization
NEUROLOGY AND SPINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS C MORELL M.D. (OWNER)
(239) 949-9000
Entity
Organization
Contact information
Practice address
10201 ARCOS AVE STE 103, ESTERO, FL 33928-9460
(239) 949-9000
(239) 949-9020
Mailing address
PO BOX 313, ESTERO, FL 33929-0313
(239) 949-9000
(239) 949-9020
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF607A
MEDICARE PTAN
FL
Enumeration date
04/06/2010
Last updated
08/21/2023
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