Organization
NEURO AND EPILEPSY CARE INC
Active
Organization
NEURO AND EPILEPSY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT EZUGHA (PRESIDENT/PROVIDER)
(407) 775-5035
Entity
Organization
Contact information
Practice address
331 N MAITLAND AVE STE D3, MAITLAND, FL 32751-4755
(407) 775-5035
Mailing address
331 N MAITLAND AVE STE D3, MAITLAND, FL 32751-4755
(407) 775-5035
(407) 255-8823
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME127563
FL
Other
Enumeration date
04/17/2017
Last updated
11/28/2017
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