Pediatric Neurology PA

NPI #1417129602 in Orlando, Florida

Provider Information

NPI Number: 1417129602
Entity Type: Organization
Organization Name: Pediatric Neurology PA
Primary Specialty: Pediatrics - Neurodevelopmental Disabilities
Enumeration Date: Mar 27, 2008
Last Updated: Aug 5, 2020

Practice Location

Address: 7485 SANDLAKE COMMONS BLVD
City: Orlando
State: Florida
ZIP Code: 32819-8034
Phone: (407) 293-1122

Authorized Official

Name: MR. EMMANUEL VEGA
Title: ADMINISTRATOR
Phone: (407) 293-1122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics - Neurodevelopmental Disabilities — Neurodevelopmental Disabilities	2080P0008X	Primary

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