Neurology And Sleep Center, Pllc | |
2900 17th St Ste 3 Saint Cloud FL 34769-6098 | |
(734) 353-9152 | |
Not Available |
Full Name | Neurology And Sleep Center, Pllc |
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Speciality | Psychiatry & Neurology |
Location | 2900 17th St, Saint Cloud, Florida |
Authorized Official Name and Position | Tariq B Irfan (OWNER) |
Authorized Official Contact | 7343539152 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neurology And Sleep Center, Pllc Po Box 10 Ocoee FL 34761-0010 Ph: () - | Neurology And Sleep Center, Pllc 2900 17th St Ste 3 Saint Cloud FL 34769-6098 Ph: (734) 353-9152 |
NPI Number | 1093036618 |
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Provider Enumeration Date | 06/17/2010 |
Last Update Date | 02/01/2012 |
Medicare PECOS PAC ID | 3971627399 |
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Medicare Enrollment ID | O20100907000866 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093036618 | NPI | - | NPPES |
ME101409 | Other | FL | FL LICENSE |
Provider Name | Tariq B Irfan |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1295762151 PECOS PAC ID: 4688678295 Enrollment ID: I20100907000817 |
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