| Penn-tampa Neurology | |
|
35111 Us Highway 19 N Palm Harbor FL 34684-1935 | |
| (727) 771-1818 | |
| Not Available |
| Full Name | Penn-tampa Neurology |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 35111 Us Highway 19 N, Palm Harbor, Florida |
| Authorized Official Name and Position | Thomas O Pearson (OWNER) |
| Authorized Official Contact | 7179947470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn-tampa Neurology 35111 Us Highway 19 N Ste 207 Palm Harbor FL 34684-1935 Ph: (727) 599-4705 | Penn-tampa Neurology 35111 Us Highway 19 N Palm Harbor FL 34684-1935 Ph: (727) 771-1818 |
| NPI Number | 1043471428 |
|---|---|
| Provider Enumeration Date | 06/19/2008 |
| Last Update Date | 01/11/2017 |
| Medicare PECOS PAC ID | 6800177700 |
|---|---|
| Medicare Enrollment ID | O20170109002232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043471428 | NPI | - | NPPES |
| 03256700 | Other | PA | CAPITAL BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (Florida) | Primary |
| Provider Name | Thomas O Pearson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144204124 PECOS PAC ID: 4385749332 Enrollment ID: I20120202000855 |
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