| Neurotek Inc | |
|
1202 Kingsley Ave Orange Park FL 32073-4632 | |
| (904) 281-1066 | |
| Not Available |
| Full Name | Neurotek Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1202 Kingsley Ave, Orange Park, Florida |
| Authorized Official Name and Position | Lawrence S Guthrie (PRESIDENT) |
| Authorized Official Contact | 9042811066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurotek Inc Po Box 17809 Jacksonville FL 32245-7809 Ph: (904) 723-5665 | Neurotek Inc 1202 Kingsley Ave Orange Park FL 32073-4632 Ph: (904) 281-1066 |
| NPI Number | 1033534821 |
|---|---|
| Provider Enumeration Date | 03/03/2014 |
| Last Update Date | 03/19/2014 |
| Medicare PECOS PAC ID | 1658596085 |
|---|---|
| Medicare Enrollment ID | O20140627000479 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033534821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME59449 (Florida) | Primary |
| Provider Name | Victor Maquera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891786059 PECOS PAC ID: 5193777050 Enrollment ID: I20100308000384 |
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