| Neurodiagnostics Of Stuart,p.a. | |
|
827 East 5th Street Stuart FL 34994 | |
| (772) 223-5345 | |
| (772) 223-0960 |
| Full Name | Neurodiagnostics Of Stuart,p.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 827 East 5th Street, Stuart, Florida |
| Authorized Official Name and Position | Jose R Toledo (PRESIDENT) |
| Authorized Official Contact | 7722235345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurodiagnostics Of Stuart,p.a. 827 Se 5th St Stuart FL 34994-2401 Ph: (772) 223-5345 | Neurodiagnostics Of Stuart,p.a. 827 East 5th Street Stuart FL 34994 Ph: (772) 223-5345 |
| NPI Number | 1609899053 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 06/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609899053 | NPI | - | NPPES |
| 055716100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME0060437 (Florida) | Primary |
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