Florida Neurology Pa

LBN: Florida Neurology Pa
Florida Neurology Pa is an health care organization with primary practice located at 755 Stirling Center Place , Lake Mary FL 32746. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Florida Neurology Pa can be contacted via phone (407) 333-1718, or through Shanmugham, Sampathkumar via phone (407) 333-1718.

Contact Information

Primary practice address
755 Stirling Center Place Lake Mary FL 32746
Fax: (407) 333-1633
Website:
Authorized official contact:
Name: Shanmugham, Sampathkumar Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1538162714
LBN Legal business name Florida Neurology Pa
DBA Doing business as
Authorized official Shanmugham, Sampathkumar Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2005
Last updated Mar 24th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538162714 NPPES
Florida MEDICAID 376958500

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