Organization
NEUROLOGY CENTER OF FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPAK TIKKU M.D. (PRESIDENT/OWNER)
(386) 624-6900
Entity
Organization
Contact information
Practice address
2808 ENTERPRISE RD, SUITE 104, DEBARY, FL 32713-2753
(386) 624-6900
(386) 624-6993
Mailing address
2808 ENTERPRISE RD, SUITE 104, DEBARY, FL 32713-2753
(386) 624-6900
(386) 624-6993
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/25/2011
Last updated
10/24/2014
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