| Community Neurological Center | |
|
10141 Big Bend Rd Suite 201 Riverview FL 33578-7419 | |
| (352) 556-4080 | |
| (352) 556-4081 |
| Full Name | Community Neurological Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10141 Big Bend Rd, Riverview, Florida |
| Authorized Official Name and Position | Mohamad Iqbal Saleh (OWNER) |
| Authorized Official Contact | 3525564080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Neurological Center Po Box 5733 Spring Hill FL 34611-5733 Ph: (352) 556-4080 | Community Neurological Center 10141 Big Bend Rd Suite 201 Riverview FL 33578-7419 Ph: (352) 556-4080 |
| NPI Number | 1942324082 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 10/19/2015 |
| Medicare PECOS PAC ID | 5294719100 |
|---|---|
| Medicare Enrollment ID | O20040617000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942324082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Mohamad I Saleh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295784551 PECOS PAC ID: 0345224150 Enrollment ID: I20100315000625 |
| Provider Name | Carlos A Feliciano |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649469776 PECOS PAC ID: 9436302189 Enrollment ID: I20130109000365 |
| Provider Name | Susanna C Oh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124363098 PECOS PAC ID: 0840500898 Enrollment ID: I20151104000790 |
| Provider Name | Amr Ibrahim El Maghraby |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639517949 PECOS PAC ID: 1254553605 Enrollment ID: I20210305000684 |
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