| Quality Neurology | |
|
6800 Nw 9th Blvd Ste 2 Gainesville FL 32605-4253 | |
| (352) 478-4700 | |
| (352) 225-3399 |
| Full Name | Quality Neurology |
|---|---|
| Speciality | Clinic/Center |
| Location | 6800 Nw 9th Blvd Ste 2, Gainesville, Florida |
| Authorized Official Name and Position | Lucas Jurgen Beerepoot (OWNER) |
| Authorized Official Contact | 3524784700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Neurology Po Box 141448 Gainesville FL 32614-1448 Ph: (352) 478-4700 | Quality Neurology 6800 Nw 9th Blvd Ste 2 Gainesville FL 32605-4253 Ph: (352) 478-4700 |
| NPI Number | 1750867115 |
|---|---|
| Provider Enumeration Date | 07/18/2018 |
| Last Update Date | 10/04/2023 |
| Certification Date | 10/04/2023 |
| Medicare PECOS PAC ID | 4981958295 |
|---|---|
| Medicare Enrollment ID | O20181126000720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750867115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | ME111124 (Florida) | Primary |
| Provider Name | Elizabeth J Goldberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669647533 PECOS PAC ID: 9436214590 Enrollment ID: I20090224000674 |
| Provider Name | Lucas J Beerepoot |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093906455 PECOS PAC ID: 9638262876 Enrollment ID: I20120130000776 |
| Provider Name | David Brandon Burtis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356504591 PECOS PAC ID: 5395980601 Enrollment ID: I20130314000145 |
| Provider Name | Lindsay K Falk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750794640 PECOS PAC ID: 3971721853 Enrollment ID: I20140908000354 |
| Provider Name | Johanna L Stith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225514060 PECOS PAC ID: 9931574506 Enrollment ID: I20230412002748 |
| Provider Name | Sarina Jaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871363721 PECOS PAC ID: 0547603979 Enrollment ID: I20240213001079 |
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