| Neurological Health Associates | |
|
1114 Cypress Glen Circle Kissimmee FL 34741 | |
| (407) 581-8640 | |
| (407) 581-8659 |
| Full Name | Neurological Health Associates |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1114 Cypress Glen Circle, Kissimmee, Florida |
| Authorized Official Name and Position | Michael Markowski (BILLING) |
| Authorized Official Contact | 4075818640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurological Health Associates 6735 Conroy Rd Suite 229 Orlando FL 32835 Ph: (407) 581-8640 | Neurological Health Associates 1114 Cypress Glen Circle Kissimmee FL 34741 Ph: (407) 581-8640 |
| NPI Number | 1083874358 |
|---|---|
| Provider Enumeration Date | 06/11/2008 |
| Last Update Date | 04/03/2018 |
| Medicare PECOS PAC ID | 4688741101 |
|---|---|
| Medicare Enrollment ID | O20080925000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083874358 | NPI | - | NPPES |
| 276495400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME95934 (Florida) | Primary |
| Provider Name | Fernando Gonzales Portillo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043284755 PECOS PAC ID: 7214931377 Enrollment ID: I20070228000167 |
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