Neurology Headache Associates, Llc | |
6500 N Socrum Loop Rd Ste 200 Lakeland FL 33809-4179 | |
(863) 853-3331 | |
Not Available |
Full Name | Neurology Headache Associates, Llc |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 6500 N Socrum Loop Rd Ste 200, Lakeland, Florida |
Authorized Official Name and Position | Eric F Stakebake (OWNER) |
Authorized Official Contact | 8016038002 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Neurology Headache Associates, Llc 6500 N Socrum Loop Rd Ste 200 Lakeland FL 33809-4179 Ph: (863) 853-3331 | Neurology Headache Associates, Llc 6500 N Socrum Loop Rd Ste 200 Lakeland FL 33809-4179 Ph: (863) 853-3331 |
NPI Number | 1104538255 |
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Provider Enumeration Date | 12/20/2022 |
Last Update Date | 09/06/2023 |
Certification Date | 11/09/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104538255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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