Organization
NEURO-DIAGNOSTIC ENTERPRISE
Active
Organization
NEURO-DIAGNOSTIC ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRISTOBAL P CORREDOR R.NCS.T,EEG.T,EP.T (NEURODIAGNOSTIC TECHNOLOGIST)
(305) 951-9332
Entity
Organization
Contact information
Practice address
2800 BISCAYNE BLVD STE 1000B, MIAMI, FL 33137-4559
(786) 886-8608
(305) 675-4601
Mailing address
14241 SW 129TH CT, MIAMI, FL 33186-8903
(305) 951-9332
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
03/14/2018
Last updated
11/17/2022
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