| Neurology Associates Of Starke Inc | |
|
107 Edwards Rd Suite F Starke FL 32091-3959 | |
| (904) 368-8111 | |
| (904) 368-8103 |
| Full Name | Neurology Associates Of Starke Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 107 Edwards Rd, Starke, Florida |
| Authorized Official Name and Position | John Decerce (OWNER) |
| Authorized Official Contact | 9043688111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Associates Of Starke Inc 107 Edwards Rd Suite F Starke FL 32091-3959 Ph: (904) 368-8111 | Neurology Associates Of Starke Inc 107 Edwards Rd Suite F Starke FL 32091-3959 Ph: (904) 368-8111 |
| NPI Number | 1154689289 |
|---|---|
| Provider Enumeration Date | 04/26/2012 |
| Last Update Date | 04/26/2012 |
| Medicare PECOS PAC ID | 6608030895 |
|---|---|
| Medicare Enrollment ID | O20120620000257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154689289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME68599 (Florida) | Primary |
| Provider Name | John Decerce |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497724421 PECOS PAC ID: 8921145434 Enrollment ID: I20110922000178 |
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