| Prime Neurology Center Of Excellence Pllc | |
|
3345 Burns Rd Ste 306 Palm Beach Gardens FL 33410-4321 | |
| (832) 971-5261 | |
| Not Available |
| Full Name | Prime Neurology Center Of Excellence Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3345 Burns Rd Ste 306, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Mitesh Patel (CEO) |
| Authorized Official Contact | 8635581054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Neurology Center Of Excellence Pllc 324 S Brevard Ave Arcadia FL 34266-4309 Ph: (863) 558-1054 | Prime Neurology Center Of Excellence Pllc 3345 Burns Rd Ste 306 Palm Beach Gardens FL 33410-4321 Ph: (832) 971-5261 |
| NPI Number | 1578219507 |
|---|---|
| Provider Enumeration Date | 02/28/2022 |
| Last Update Date | 06/07/2022 |
| Certification Date | 06/07/2022 |
| Medicare PECOS PAC ID | 0840671582 |
|---|---|
| Medicare Enrollment ID | O20220713000791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578219507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Mitesh Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346771912 PECOS PAC ID: 7810269040 Enrollment ID: I20220713000957 |
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