| Florida Neurology Institute | |
|
1324 Lakeland Hills Blvd Lakeland FL 33805-4543 | |
| (352) 254-0053 | |
| (352) 324-2929 |
| Full Name | Florida Neurology Institute |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1324 Lakeland Hills Blvd, Lakeland, Florida |
| Authorized Official Name and Position | Marisol Gonzalez (OFFICE MANAGER) |
| Authorized Official Contact | 3522540233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Neurology Institute Po Box 493235 Leesburg FL 34749-3235 Ph: (352) 254-0233 | Florida Neurology Institute 1324 Lakeland Hills Blvd Lakeland FL 33805-4543 Ph: (352) 254-0053 |
| NPI Number | 1962444372 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 06/25/2010 |
| Medicare PECOS PAC ID | 0941259022 |
|---|---|
| Medicare Enrollment ID | O20050114000775 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962444372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME86321 (Florida) | Primary |
| Provider Name | Allamm Morales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609826213 PECOS PAC ID: 5395794473 Enrollment ID: I20050118000147 |
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