| Neurology Medicine Services Of Fl, Llc | |
|
201 14th St Sw Largo FL 33770-3133 | |
| (727) 588-5200 | |
| Not Available |
| Full Name | Neurology Medicine Services Of Fl, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 201 14th St Sw, Largo, Florida |
| Authorized Official Name and Position | John Rebok (VICE PRESIDENT) |
| Authorized Official Contact | 6153725004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Medicine Services Of Fl, Llc 2000 Health Park Dr Brentwood TN 37027-4692 Ph: (615) 373-7406 | Neurology Medicine Services Of Fl, Llc 201 14th St Sw Largo FL 33770-3133 Ph: (727) 588-5200 |
| NPI Number | 1164129227 |
|---|---|
| Provider Enumeration Date | 02/09/2023 |
| Last Update Date | 06/14/2023 |
| Certification Date | 06/14/2023 |
| Medicare PECOS PAC ID | 0244605681 |
|---|---|
| Medicare Enrollment ID | O20230417001598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164129227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Mark L Ritch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659313732 PECOS PAC ID: 8628049350 Enrollment ID: I20040804001624 |
| Provider Name | Bakkiam Subbiah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033197629 PECOS PAC ID: 8325038482 Enrollment ID: I20070212000486 |
| Provider Name | Carl T Shenkman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083664874 PECOS PAC ID: 8325028749 Enrollment ID: I20140728000815 |
| Provider Name | Matthew Ritch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619339082 PECOS PAC ID: 4880986660 Enrollment ID: I20200629003642 |
| Provider Name | Aaron Patrick Noles |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982066346 PECOS PAC ID: 5496042871 Enrollment ID: I20210707001621 |
| Provider Name | Marko Perovic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982004883 PECOS PAC ID: 5597020743 Enrollment ID: I20220830001960 |
| Provider Name | Matthew D Robertson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245474360 PECOS PAC ID: 6901021120 Enrollment ID: I20240220004741 |
| Provider Name | David Moore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477742906 PECOS PAC ID: 3577747138 Enrollment ID: I20240422001188 |
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