Organization
BAY AREA NEUROTECH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FAITH ROGERS (BILLING MANAGER)
(941) 342-9445
Entity
Organization
Contact information
Practice address
3501 CATTLEMEN RD STE A, SARASOTA, FL 34232-6054
(941) 342-9477
Mailing address
1113 CLASSIC DR, VALRICO, FL 33594-6610
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053500124
NPI
FL
Enumeration date
12/16/2019
Last updated
12/16/2019
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