| Netherfield Place Pllc | |
|
7376 Stonerock Cir Orlando FL 32819-8000 | |
| (407) 289-0644 | |
| Not Available |
| Full Name | Netherfield Place Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7376 Stonerock Cir, Orlando, Florida |
| Authorized Official Name and Position | Afra Janarious (CHAIRMAN) |
| Authorized Official Contact | 4073735853 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Netherfield Place Pllc 10594 Royal Cypress Way Orlando FL 32836-6529 Ph: (407) 373-5853 | Netherfield Place Pllc 7376 Stonerock Cir Orlando FL 32819-8000 Ph: (407) 289-0644 |
| NPI Number | 1356061279 |
|---|---|
| Provider Enumeration Date | 08/31/2022 |
| Last Update Date | 08/31/2022 |
| Certification Date | 08/31/2022 |
| Medicare PECOS PAC ID | 6709252703 |
|---|---|
| Medicare Enrollment ID | O20221017001048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356061279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Afra Janarious |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760826580 PECOS PAC ID: 7416245345 Enrollment ID: I20200519000842 |
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