| Sunrise Neurology Pa | |
|
38156 Medical Center Ave Zephyrhills FL 33540-1380 | |
| (813) 783-9799 | |
| (813) 783-9793 |
| Full Name | Sunrise Neurology Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 38156 Medical Center Ave, Zephyrhills, Florida |
| Authorized Official Name and Position | Prakashkumar Patel (OWNER) |
| Authorized Official Contact | 8137839799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Neurology Pa 38156 Medical Center Ave Zephyrhills FL 33540-1380 Ph: (813) 783-9799 | Sunrise Neurology Pa 38156 Medical Center Ave Zephyrhills FL 33540-1380 Ph: (813) 783-9799 |
| NPI Number | 1063478279 |
|---|---|
| Provider Enumeration Date | 04/25/2006 |
| Last Update Date | 06/22/2021 |
| Certification Date | 06/22/2021 |
| Medicare PECOS PAC ID | 0042305443 |
|---|---|
| Medicare Enrollment ID | O20071001000221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063478279 | NPI | - | NPPES |
| 267730000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME86194 (Florida) | Primary |
| Provider Name | Prakashkumar Nagindas Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629079801 PECOS PAC ID: 7719881267 Enrollment ID: I20031125000713 |
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