Florida Neurology PA

NPI #1538162714 in Lake Mary, Florida

Provider Information

NPI Number: 1538162714
Entity Type: Organization
Organization Name: Florida Neurology PA
Primary Specialty: Specialist
Enumeration Date: May 23, 2005
Last Updated: Mar 24, 2011

Practice Location

Address: 755 STIRLING CENTER PLACE
City: Lake Mary
State: Florida
ZIP Code: 32746
Phone: (407) 333-1718

Authorized Official

Name: SAMPATHKUMAR SHANMUGHAM, M.D.
Title: PRESIDENT
Phone: (407) 333-1718

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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