Organization
KIDS NEURO CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC MARCUS M.S. (OFFICE MANAGER)
(407) 218-4444
Entity
Organization
Contact information
Practice address
10931 DYLAN LOREN CIRCLE, ORLANDO, FL 32825
(407) 218-4444
(321) 284-1514
Mailing address
10931 DYLAN LOREN CIR, ORLANDO, FL 32825-4449
(407) 218-4444
(321) 284-1514
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME94141
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013200100
—
FL
Enumeration date
11/19/2007
Last updated
05/15/2015
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