Organization · NPI-2

Osceola Neurological Associates LLC

Psychiatry & Neurology, Neurology · Kissimmee, FL

NPI number1114959111
StatusActive
Last updated in NPPESAug 29, 2007

Details

NPI
1114959111
Entity type
Organization (NPI-2)
Legal business name
Osceola Neurological Associates LLC
Organization subpart
No
Enumeration date
Jul 7, 2006
Last updated
Aug 29, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology––Yes

Practice location

720 W Oak St
Suite 150
Kissimmee, FL 34741-4989

Phone 407-847-4616

Mailing address

720 W Oak St
Suite 150
Kissimmee, FL 34741-4989

Phone 407-847-4616

Authorized official

Mickey Pickler
Vp
4078474616

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