| Synapse Neurological Care P.a. | |
|
2753 Citrus Tower Blvd Clermont FL 34711-6699 | |
| (352) 404-7712 | |
| (352) 404-7713 |
| Full Name | Synapse Neurological Care P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2753 Citrus Tower Blvd, Clermont, Florida |
| Authorized Official Name and Position | Raam Sambandam (PRESIDENT) |
| Authorized Official Contact | 3524047712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Synapse Neurological Care P.a. Po Box 2380 Minneola FL 34755-2380 Ph: (904) 563-4700 | Synapse Neurological Care P.a. 2753 Citrus Tower Blvd Clermont FL 34711-6699 Ph: (352) 404-7712 |
| NPI Number | 1124469218 |
|---|---|
| Provider Enumeration Date | 07/17/2013 |
| Last Update Date | 02/19/2020 |
| Certification Date | 02/19/2020 |
| Medicare PECOS PAC ID | 0345482428 |
|---|---|
| Medicare Enrollment ID | O20130820000892 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124469218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0008X | Psychiatry & Neurology - Neuromuscular Medicine | (* (Not Available)) | Primary |
| Provider Name | Raam Sambandam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528226388 PECOS PAC ID: 2961644059 Enrollment ID: I20130820000954 |
| Provider Name | Aisha Mohsin Malik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235389537 PECOS PAC ID: 5890910293 Enrollment ID: I20180606003305 |
| Provider Name | Erin Elizabeth Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588201008 PECOS PAC ID: 8224468350 Enrollment ID: I20200414000165 |
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