Organization
NORTH FLORIDA NEURODIAGNOSTICS, LLC
Active
Parent organization
NEUROLOGY CENTER OF NORTH FLORIDA, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEUROLOGY CENTER OF NORTH FLORIDA, LLC
Authorized official
ERNESTO ALONSO M.D. (OWNER)
(386) 288-5311
Entity
Organization
Contact information
Practice address
426 SW COMMERCE DR STE 101, LAKE CITY, FL 32025-1506
(386) 288-5311
(386) 288-0058
Mailing address
426 SW COMMERCE DR STE 101, LAKE CITY, FL 32025-1506
(386) 288-5311
(386) 288-0058
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
293D00000X
Physiological Laboratory
—
—
Other
Enumeration date
06/11/2020
Last updated
06/24/2020
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