| Neurology Associates Of Charlotte County | |
|
3067 Tamiami Trl Ste 2 Port Charlotte FL 33952-6619 | |
| (941) 225-8351 | |
| (941) 258-3519 |
| Full Name | Neurology Associates Of Charlotte County |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3067 Tamiami Trl Ste 2, Port Charlotte, Florida |
| Authorized Official Name and Position | Jennifer L Jackson (SR DIR PROV ENROLLMENT & ONBOARDING) |
| Authorized Official Contact | 6154653334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Associates Of Charlotte County Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7211 | Neurology Associates Of Charlotte County 3067 Tamiami Trl Ste 2 Port Charlotte FL 33952-6619 Ph: (941) 225-8351 |
| NPI Number | 1053983338 |
|---|---|
| Provider Enumeration Date | 07/15/2021 |
| Last Update Date | 03/16/2022 |
| Certification Date | 03/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053983338 | NPI | - | NPPES |
| 278507205 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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