| Palma Sola Neurology Associates | |
|
2902 59th St W Ste D Bradenton FL 34209-7021 | |
| (941) 877-7007 | |
| (941) 238-9119 |
| Full Name | Palma Sola Neurology Associates |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2902 59th St W Ste D, Bradenton, Florida |
| Authorized Official Name and Position | Sanjay Yathiraj (NEUROLOGIST) |
| Authorized Official Contact | 9418777007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palma Sola Neurology Associates Po Box 14675 Bradenton FL 34280-4675 Ph: (941) 877-7007 | Palma Sola Neurology Associates 2902 59th St W Ste D Bradenton FL 34209-7021 Ph: (941) 877-7007 |
| NPI Number | 1922510379 |
|---|---|
| Provider Enumeration Date | 10/25/2017 |
| Last Update Date | 02/02/2018 |
| Medicare PECOS PAC ID | 8527328947 |
|---|---|
| Medicare Enrollment ID | O20180205000120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922510379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME72170 (Florida) | Primary |
| Provider Name | Sanjay Yathiraj |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508851718 PECOS PAC ID: 4981595006 Enrollment ID: I20040320000049 |
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