Suncoast Pediatric Epilepsy And Neuropsychology Specialists | |
833 Cypress Village Blvd Ruskin FL 33573-6822 | |
(813) 633-6000 | |
Not Available |
Full Name | Suncoast Pediatric Epilepsy And Neuropsychology Specialists |
---|---|
Speciality | Clinical Neuropsychologist |
Location | 833 Cypress Village Blvd, Ruskin, Florida |
Authorized Official Name and Position | Yolanda Leon (OWNER) |
Authorized Official Contact | 8136336000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Suncoast Pediatric Epilepsy And Neuropsychology Specialists 833 Cypress Village Blvd Ruskin FL 33573-6822 Ph: (813) 633-6000 | Suncoast Pediatric Epilepsy And Neuropsychology Specialists 833 Cypress Village Blvd Ruskin FL 33573-6822 Ph: (813) 633-6000 |
NPI Number | 1063743896 |
---|---|
Provider Enumeration Date | 01/19/2010 |
Last Update Date | 01/19/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063743896 | NPI | - | NPPES |
BH036Z | Other | FL | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | PY5685 (Florida) | Primary |
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