Parkinsons & Movement Disorders Clinic Of Orlando, Inc. | |
106 Boston Ave Suite 204 Altamonte Springs FL 32701-4731 | |
(407) 723-7172 | |
(407) 423-9505 |
Full Name | Parkinsons & Movement Disorders Clinic Of Orlando, Inc. |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 106 Boston Ave, Altamonte Springs, Florida |
Authorized Official Name and Position | Manuel Alex Gonzalez (PRESIDENT) |
Authorized Official Contact | 4079039360 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Parkinsons & Movement Disorders Clinic Of Orlando, Inc. 106 Boston Ave Suite 204 Altamonte Springs FL 32701-4731 Ph: () - | Parkinsons & Movement Disorders Clinic Of Orlando, Inc. 106 Boston Ave Suite 204 Altamonte Springs FL 32701-4731 Ph: (407) 723-7172 |
NPI Number | 1063824845 |
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Provider Enumeration Date | 05/28/2014 |
Last Update Date | 07/15/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063824845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | ME97148 (Florida) | Primary |
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