Charlotte Neurological Services | |
4235 Kings Hwy Suite 102 Port Charlotte FL 33980-8421 | |
(941) 743-4987 | |
(941) 743-4486 |
Full Name | Charlotte Neurological Services |
---|---|
Speciality | Psychiatry & Neurology |
Location | 4235 Kings Hwy, Port Charlotte, Florida |
Authorized Official Name and Position | Ramon A. Gil (PRESIDENT) |
Authorized Official Contact | 9417434987 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Charlotte Neurological Services 4235 Kings Hwy Suite 102 Port Charlotte FL 33980-8421 Ph: (941) 743-4987 | Charlotte Neurological Services 4235 Kings Hwy Suite 102 Port Charlotte FL 33980-8421 Ph: (941) 743-4987 |
NPI Number | 1558535567 |
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Provider Enumeration Date | 04/22/2008 |
Last Update Date | 01/05/2016 |
Medicare PECOS PAC ID | 8820123300 |
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Medicare Enrollment ID | O20100323000504 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558535567 | NPI | - | NPPES |
1700847597 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | ME56096 (Florida) | Primary |
Provider Name | Ramon A Gil |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1700847597 PECOS PAC ID: 1355415811 Enrollment ID: I20080731000364 |
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