| Neurology Headache Associates, Llc | |
|
6500 N Socrum Loop Rd Ste 200 Lakeland FL 33809-4179 | |
| (863) 853-3331 | |
| Not Available |
| Full Name | Neurology Headache Associates, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 6500 N Socrum Loop Rd Ste 200, Lakeland, Florida |
| Authorized Official Name and Position | Eric F Stakebake (OWNER) |
| Authorized Official Contact | 8016038002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Headache Associates, Llc 6500 N Socrum Loop Rd Ste 200 Lakeland FL 33809-4179 Ph: (863) 853-3331 | Neurology Headache Associates, Llc 6500 N Socrum Loop Rd Ste 200 Lakeland FL 33809-4179 Ph: (863) 853-3331 |
| NPI Number | 1104538255 |
|---|---|
| Provider Enumeration Date | 12/20/2022 |
| Last Update Date | 09/06/2023 |
| Certification Date | 11/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104538255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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