| Neurological Specialists Of Central Florida, Llc | |
|
1724 Se 17th Ave Ocala FL 34471-4623 | |
| (352) 901-6210 | |
| (352) 435-7148 |
| Full Name | Neurological Specialists Of Central Florida, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1724 Se 17th Ave, Ocala, Florida |
| Authorized Official Name and Position | Aaron Campo (CORPORATE MANAGER/OWNER) |
| Authorized Official Contact | 3528759057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurological Specialists Of Central Florida, Llc 1724 Se 17th Ave Ocala FL 34471-4623 Ph: () - | Neurological Specialists Of Central Florida, Llc 1724 Se 17th Ave Ocala FL 34471-4623 Ph: (352) 901-6210 |
| NPI Number | 1821562406 |
|---|---|
| Provider Enumeration Date | 01/16/2019 |
| Last Update Date | 01/03/2022 |
| Certification Date | 01/03/2022 |
| Medicare PECOS PAC ID | 9335481027 |
|---|---|
| Medicare Enrollment ID | O20190429002624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821562406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Anette V Nieves |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770658957 PECOS PAC ID: 5991893976 Enrollment ID: I20071109000207 |
| Provider Name | Jordan Griffis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518469071 PECOS PAC ID: 1850654336 Enrollment ID: I20180416001057 |
| Provider Name | Natasha V Maguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477011062 PECOS PAC ID: 8820321151 Enrollment ID: I20190531000662 |
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