| Neurology And Spine Center | |
|
10201 Arcos Ave Ste 103 Estero FL 33928-9460 | |
| (239) 949-9000 | |
| (239) 949-9020 |
| Full Name | Neurology And Spine Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10201 Arcos Ave Ste 103, Estero, Florida |
| Authorized Official Name and Position | Thomas C Morell (OWNER) |
| Authorized Official Contact | 2399499000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology And Spine Center Po Box 313 Estero FL 33929-0313 Ph: (239) 949-9000 | Neurology And Spine Center 10201 Arcos Ave Ste 103 Estero FL 33928-9460 Ph: (239) 949-9000 |
| NPI Number | 1821313503 |
|---|---|
| Provider Enumeration Date | 04/06/2010 |
| Last Update Date | 08/21/2023 |
| Certification Date | 08/21/2023 |
| Medicare PECOS PAC ID | 4587796313 |
|---|---|
| Medicare Enrollment ID | O20100714000752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821313503 | NPI | - | NPPES |
| DF607A | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Thomas C Morell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285633156 PECOS PAC ID: 6103724208 Enrollment ID: I20040120000370 |
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