| Village Neurology Center | |
|
729 Cr 466 Lady Lake FL 32159 | |
| (352) 633-2164 | |
| (352) 205-8149 |
| Full Name | Village Neurology Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 729 Cr 466, Lady Lake, Florida |
| Authorized Official Name and Position | Alexander H Smirnoff (PRESIDENT/OWNER) |
| Authorized Official Contact | 3526332164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Neurology Center 1576 Bella Cruz Dr Pmb 413 The Villages FL 32159-8969 Ph: (352) 633-2164 | Village Neurology Center 729 Cr 466 Lady Lake FL 32159 Ph: (352) 633-2164 |
| NPI Number | 1700077732 |
|---|---|
| Provider Enumeration Date | 08/06/2007 |
| Last Update Date | 06/17/2015 |
| Medicare PECOS PAC ID | 2365537941 |
|---|---|
| Medicare Enrollment ID | O20100624000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700077732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME106236 (Florida) | Primary |
| Provider Name | Alexander Smirnoff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518053024 PECOS PAC ID: 9931092301 Enrollment ID: I20100624000207 |
Neuropsychiatry Centers Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 809 County Road 466 Ste 101-c, Lady Lake, FL 32159 Phone: 352-330-2020 Fax: 352-360-6582 | |
Serenity Hope Consulting Services Inc Counseling And Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13940 N Us Highway 441 Ste 210, Lady Lake, FL 32159 Phone: 919-946-0143 | |
Metanoia Integrative Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Co Rd 466, Suite 207 Office B, Lady Lake, FL 32159 Phone: 908-528-1301 | |
Freedom Counseling Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 379 Fennell Blvd., Lady Lake, FL 32159 Phone: 352-633-5253 | |
Mental Health Of Central Florida, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 929 N Us Highway 441 Ste 102, Lady Lake, FL 32159 Phone: 352-633-0473 Fax: 352-775-9562 | |
Valencia Neurospina Center Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 729 County Road 466, Lady Lake, FL 32159 Phone: 352-633-1880 Fax: 352-633-1882 |