Organization · NPI-2

Advanced Neurotherapeutics LLC

Psychiatry & Neurology, Neurology · Orlando, FL

NPI number1962987610
StatusActive
Last updated in NPPESSep 3, 2024

Details

NPI
1962987610
Entity type
Organization (NPI-2)
Legal business name
Advanced Neurotherapeutics LLC
Organization subpart
No
Enumeration date
Sep 28, 2018
Certification date
Sep 3, 2024
Last updated
Sep 3, 2024

Taxonomy and licenses

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

Other names

  • Neurology One (Doing Business As)

Practice location

92 N Dean Rd Ste 100
Orlando, FL 32825-3769

Phone 407-916-0304 · Fax 888-960-6364

Mailing address

11954 Narcoossee Rd #2
Suite 150
Orlando, FL 32832

Phone 407-916-0304

Authorized official

Ramon Luis Rodriguez-Cruz
Medical Director
4079160304

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