Lake City Institute of Neurology PA
NPI #1710266895 in Saint Cloud, Florida
Provider Information
- NPI Number
- 1710266895
- Entity Type
- Organization
- Organization Name
- Lake City Institute of Neurology PA
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Aug 8, 2011
- Last Updated
- Jul 30, 2024
Practice Location
- Address
- 4745 OLD CANOE CREEK RD
- City
- Saint Cloud
- State
- Florida
- ZIP Code
- 34769-1400
- Phone
- (407) 818-1664
Authorized Official
- Name
- REKHA NIDADAVOLU
- Title
- ADMIN
- Phone
- (305) 905-9316
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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