| Heartland Neurology, Pllc | |
|
777 W Hickpochee Ave Unit C Labelle FL 33935-4330 | |
| (863) 230-6950 | |
| (208) 275-0119 |
| Full Name | Heartland Neurology, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 777 W Hickpochee Ave Unit C, Labelle, Florida |
| Authorized Official Name and Position | Jay Carrington Gould (OFFICE MANAGER) |
| Authorized Official Contact | 2395420939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Neurology, Pllc 777 W Hickpochee Ave Unit C Labelle FL 33935-4330 Ph: () - | Heartland Neurology, Pllc 777 W Hickpochee Ave Unit C Labelle FL 33935-4330 Ph: (863) 230-6950 |
| NPI Number | 1952803298 |
|---|---|
| Provider Enumeration Date | 03/02/2018 |
| Last Update Date | 03/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952803298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0008X | Psychiatry & Neurology - Neuromuscular Medicine | ME117089 (Florida) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | ME117089 (Florida) | Primary |
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