Neurosursery & Orthopedic Institute Of Florida LLC
Neurological Surgery in Jacksonville, FL. Organization (NPI-2).
NPI number1164030359
StatusActive
Last updated in NPPESJul 14, 2020
Details
- NPI
- 1164030359
- Entity type
- Organization (NPI-2)
- Legal business name
- Neurosursery & Orthopedic Institute Of Florida LLC
- Organization subpart
- No
- Enumeration date
- Jul 14, 2020
- Certification date
- Jul 14, 2020
- Last updated
- Jul 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | – | – | Yes |
Other names
- Amos O Dare. MD. PA (Doing Business As)
Practice location
644 Cesery BlvdSuite 310
Jacksonville, FL 32211
Phone 904-743-9222 · Fax 904-743-9225
Mailing address
8185 Via Ancho RdUnit 880347
Boca Raton, FL 33488
Phone 561-844-0120 · Fax 904-743-9225
Authorized official
Amos O Dare
Doctor
5618440120
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