| Kids Neuro Care Llc | |
|
10931 Dylan Loren Circle Orlando FL 32825 | |
| (407) 218-4444 | |
| (321) 284-1514 |
| Full Name | Kids Neuro Care Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 10931 Dylan Loren Circle, Orlando, Florida |
| Authorized Official Name and Position | Eric Marcus (OFFICE MANAGER) |
| Authorized Official Contact | 4072184444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Neuro Care Llc 10931 Dylan Loren Cir Orlando FL 32825-4449 Ph: (407) 218-4444 | Kids Neuro Care Llc 10931 Dylan Loren Circle Orlando FL 32825 Ph: (407) 218-4444 |
| NPI Number | 1912188970 |
|---|---|
| Provider Enumeration Date | 11/19/2007 |
| Last Update Date | 05/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912188970 | NPI | - | NPPES |
| 013200100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ME94141 (Florida) | Primary |
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