Organization
NEUROLOGICAL SPECIALTIES NEUROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS M NEWMAN MD (PRESIDENT)
(813) 876-6321
Entity
Organization
Contact information
Practice address
2816 W VIRGINIA AVE, TAMPA, FL 33607-6330
(813) 876-6321
(813) 870-0350
Mailing address
2816 W VIRGINIA AVE, TAMPA, FL 33607-6330
(813) 876-6321
(813) 870-0350
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932167566
NPI
—
01
—
21271
BCBS OF FLORIDA GROUP NUM
FL
01
—
21271
MEDICARE GROUP NUMBER
—
Enumeration date
05/03/2006
Last updated
01/15/2015
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