| Neurologic Consultants Llc | |
|
325 Clyde Morris Blvd Ste 390 Ormond Beach FL 32174-8179 | |
| (386) 676-6335 | |
| (386) 256-7629 |
| Full Name | Neurologic Consultants Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 325 Clyde Morris Blvd Ste 390, Ormond Beach, Florida |
| Authorized Official Name and Position | Mandeep Garewal (MANAGER) |
| Authorized Official Contact | 3866766335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurologic Consultants Llc 325 Clyde Morris Blvd Ste 390 Ormond Beach FL 32174-8179 Ph: (386) 676-6335 | Neurologic Consultants Llc 325 Clyde Morris Blvd Ste 390 Ormond Beach FL 32174-8179 Ph: (386) 676-6335 |
| NPI Number | 1578218095 |
|---|---|
| Provider Enumeration Date | 02/14/2022 |
| Last Update Date | 11/14/2023 |
| Certification Date | 11/14/2023 |
| Medicare PECOS PAC ID | 2860870169 |
|---|---|
| Medicare Enrollment ID | O20220527000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578218095 | NPI | - | NPPES |
| Provider Name | Mandeep Garewal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700997707 PECOS PAC ID: 1052410388 Enrollment ID: I20070627000074 |
| Provider Name | Sofia S Yahya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770540551 PECOS PAC ID: 1052596970 Enrollment ID: I20110419000630 |
| Provider Name | Brittany Korell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396475018 PECOS PAC ID: 1850772567 Enrollment ID: I20220712004208 |
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