| Strokepr-llc | |
|
601 E Rollins St Orlando FL 32803-1248 | |
| (407) 303-5600 | |
| Not Available |
| Full Name | Strokepr-llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 601 E Rollins St, Orlando, Florida |
| Authorized Official Name and Position | Fernando Luis Santiago (OWNER) |
| Authorized Official Contact | 7873443691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Strokepr-llc 3715 Virginia Dr Orlando FL 32803-2946 Ph: (787) 344-3691 | Strokepr-llc 601 E Rollins St Orlando FL 32803-1248 Ph: (407) 303-5600 |
| NPI Number | 1467929786 |
|---|---|
| Provider Enumeration Date | 10/24/2018 |
| Last Update Date | 10/24/2018 |
| Medicare PECOS PAC ID | 7719226950 |
|---|---|
| Medicare Enrollment ID | O20190305002006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467929786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 2084V0102X | Psychiatry & Neurology - Vascular Neurology | (* (Not Available)) | Primary |
| Provider Name | Fernando L Santiago |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861435026 PECOS PAC ID: 5698748044 Enrollment ID: I20160505000823 |
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