| Parkinsons &neurology Clinic Llc | |
|
11700 N 58th St Temple Terrace FL 33617-1666 | |
| (813) 690-6144 | |
| (813) 980-0303 |
| Full Name | Parkinsons &neurology Clinic Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11700 N 58th St, Temple Terrace, Florida |
| Authorized Official Name and Position | Israt Jahan (DIRECTOR) |
| Authorized Official Contact | 8134517431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkinsons &neurology Clinic Llc 20248 Merry Oak Ave Tampa FL 33647-3642 Ph: (813) 451-7431 | Parkinsons &neurology Clinic Llc 11700 N 58th St Temple Terrace FL 33617-1666 Ph: (813) 690-6144 |
| NPI Number | 1093416653 |
|---|---|
| Provider Enumeration Date | 03/13/2023 |
| Last Update Date | 03/13/2023 |
| Certification Date | 03/02/2023 |
| Medicare PECOS PAC ID | 2264891324 |
|---|---|
| Medicare Enrollment ID | O20230707000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093416653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Israt Jahan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447637129 PECOS PAC ID: 4789916057 Enrollment ID: I20191106001216 |
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