Neurology Pa

LBN: Neurology Pa
Neurology Pa is an health care organization with primary practice located at 4161 Tamiami Trl Suite 201, Port Charlotte FL 33952-9208. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Medical. Other Service Providers / Specialist is the primary health care specialty. Neurology Pa can be contacted via phone (941) 764-0800, or through Holt, William A via phone (941) 764-0800.

Contact Information

Primary practice address
4161 Tamiami Trl Suite 201 Port Charlotte FL 33952-9208
Fax: (941) 764-6494
Website:
Authorized official contact:
Name: Holt, William A Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OS5338 Florida
Other Service Providers / Specialist 174400000X ME85919 Florida
Other Service Providers / Specialist 174400000X ME99150 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9101267 Florida

Profile Details

NPI number 1326074857
LBN Legal business name Neurology Pa
DBA Doing business as
Authorized official Holt, William A Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2006
Last updated Feb 22nd, 2008 - about 17 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 1326074857 NPPES
Florida Other CK2663 RAILROAD MEDICARE
Florida MEDICAID 262779500 RAILROAD MEDICARE

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