Organization
FLORIDA NEUROLOGY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARISOL GONZALEZ (OFFICE MANAGER)
(352) 254-0233
Entity
Organization
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(352) 254-0053
(352) 324-2929
Mailing address
PO BOX 493235, LEESBURG, FL 34749-3235
(352) 254-0233
(352) 324-2929
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME86321
FL
Other
Enumeration date
06/11/2006
Last updated
06/25/2010
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