Lake City Institute of Neurology PA
NPI #1578922613 in Saint Cloud, Florida
Provider Information
- NPI Number
- 1578922613
- Entity Type
- Organization
- Organization Name
- Lake City Institute of Neurology PA
- Primary Specialty
- Psychiatry & Neurology - Neuromuscular Medicine
- Enumeration Date
- Feb 17, 2016
- Last Updated
- Jan 9, 2025
Practice Location
- Address
- 4745 OLD CANOE CREEK RD
- City
- Saint Cloud
- State
- Florida
- ZIP Code
- 34769-1400
- Phone
- (407) 818-1664
Authorized Official
- Name
- MRS. REKHA NIDADAVOLU
- Title
- MANAGER
- Phone
- (305) 905-9316
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neuromuscular Medicine — Neuromuscular Medicine |
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