| Virtual Neurology, Llc | |
|
11215 Metro Pkway Bldg. 3, Ste 1 Fort Myers FL 33966 | |
| (392) 082-2122 | |
| (239) 208-3994 |
| Full Name | Virtual Neurology, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11215 Metro Pkway, Fort Myers, Florida |
| Authorized Official Name and Position | Daryoush Zafar (MANAGING PARTNER) |
| Authorized Official Contact | 2392082206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virtual Neurology, Llc 11215 Metro Pkwy Bldg. 3, Ste 1 Fort Myers FL 33966 Ph: (239) 208-2212 | Virtual Neurology, Llc 11215 Metro Pkway Bldg. 3, Ste 1 Fort Myers FL 33966 Ph: (392) 082-2122 |
| NPI Number | 1760940167 |
|---|---|
| Provider Enumeration Date | 03/05/2019 |
| Last Update Date | 12/02/2024 |
| Medicare PECOS PAC ID | 9830425321 |
|---|---|
| Medicare Enrollment ID | O20190722001227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760940167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Jason P Stabley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992713234 PECOS PAC ID: 8022904036 Enrollment ID: I20040226000224 |
| Provider Name | Nima Mowzoon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992774327 PECOS PAC ID: 1254358401 Enrollment ID: I20070829000401 |
| Provider Name | Adam L Heller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710183041 PECOS PAC ID: 5991879793 Enrollment ID: I20080728000422 |
| Provider Name | Amanda J Avila |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184841397 PECOS PAC ID: 9830345735 Enrollment ID: I20120808000809 |
| Provider Name | Mohammed Zaman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215126032 PECOS PAC ID: 4284882895 Enrollment ID: I20120924000212 |
| Provider Name | Julio Ventura |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164659546 PECOS PAC ID: 2163662495 Enrollment ID: I20130723000638 |
| Provider Name | Alberto R Figueroa-garcia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912167594 PECOS PAC ID: 3072754175 Enrollment ID: I20130801000616 |
| Provider Name | Yelena G Vidgop |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336300771 PECOS PAC ID: 0941444095 Enrollment ID: I20130911000807 |
| Provider Name | Neetu Dhadwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962842492 PECOS PAC ID: 4183852270 Enrollment ID: I20160328002031 |
| Provider Name | Jeffrey L Ortstadt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467480376 PECOS PAC ID: 4880631274 Enrollment ID: I20170202000817 |
| Provider Name | Birenkumar Rajandrakumar Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679900062 PECOS PAC ID: 0547533788 Enrollment ID: I20191028001092 |
| Provider Name | Arielle Vonstrolley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134579006 PECOS PAC ID: 1456647486 Enrollment ID: I20200826001409 |
| Provider Name | Colby A. Richardson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558724799 PECOS PAC ID: 2567866973 Enrollment ID: I20210806002491 |
| Provider Name | Sheyar Wala Amin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720511769 PECOS PAC ID: 7517357783 Enrollment ID: I20211201002465 |
| Provider Name | Justin T De'prey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356872063 PECOS PAC ID: 3274806674 Enrollment ID: I20220621003409 |
| Provider Name | Charlene L Gunasekera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891292538 PECOS PAC ID: 1850648015 Enrollment ID: I20220721002894 |
| Provider Name | Kyle William Binder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841635422 PECOS PAC ID: 8325479116 Enrollment ID: I20230123000057 |
| Provider Name | Mina Rizk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790286417 PECOS PAC ID: 1557758919 Enrollment ID: I20230405000017 |
| Provider Name | Ellie Frazey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003472366 PECOS PAC ID: 2567820848 Enrollment ID: I20230717002476 |
| Provider Name | Jacob Arthur Sambursky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619436474 PECOS PAC ID: 2365806262 Enrollment ID: I20231019000795 |
| Provider Name | Gustavo Silva |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023424306 PECOS PAC ID: 1052637907 Enrollment ID: I20240202000081 |
| Provider Name | Ashwaan A Uddin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568090058 PECOS PAC ID: 4486078573 Enrollment ID: I20240617002960 |
Tele-id Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14192 Metropolis Ave, Fort Myers, FL 33912 Phone: 239-245-8223 Fax: 239-244-9481 | |
Vg Primary Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5285 Summerlin Rd Ste 101, Fort Myers, FL 33919 Phone: 978-495-0389 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13813 Metro Pkwy, Fort Myers, FL 33912 Phone: 855-674-4624 | |
G & C Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4048 Evans Ave, Suite 208, Fort Myers, FL 33901 Phone: 786-991-4400 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9671 Gladiolus Dr Ste 109, Fort Myers, FL 33908 Phone: 239-362-1450 Fax: 239-985-9629 |