| Advancedneuro Corp | |
|
13010 Arbor Isle Dr Unit 102 Temple Terr FL 33637-1145 | |
| (201) 590-5104 | |
| (813) 315-6299 |
| Full Name | Advancedneuro Corp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 13010 Arbor Isle Dr Unit 102, Temple Terr, Florida |
| Authorized Official Name and Position | Chirag Savani (MD) |
| Authorized Official Contact | 2015905104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advancedneuro Corp 13010 Arbor Isle Dr Unit 102 Temple Terr FL 33637-1145 Ph: (201) 590-5104 | Advancedneuro Corp 13010 Arbor Isle Dr Unit 102 Temple Terr FL 33637-1145 Ph: (201) 590-5104 |
| NPI Number | 1043893878 |
|---|---|
| Provider Enumeration Date | 04/29/2021 |
| Last Update Date | 04/29/2021 |
| Certification Date | 04/29/2021 |
| Medicare PECOS PAC ID | 3476962168 |
|---|---|
| Medicare Enrollment ID | O20210510002008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043893878 | NPI | - | NPPES |
| ME146254 | Other | FL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Chirag Savani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194263178 PECOS PAC ID: 3870843717 Enrollment ID: I20210510002110 |
| Provider Name | Elisa Martinez Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932871076 PECOS PAC ID: 6204225345 Enrollment ID: I20211111001749 |
Anthony Dwight Bobo, Sr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7501 Okeechobee Ct, Temple Terr, FL 33637 Phone: 330-573-4722 |