Provider Demographics
NPI:1043292972
Name:NEUROLOGICAL SERVICES OF ORLANDO PA
Entity Type:Organization
Organization Name:NEUROLOGICAL SERVICES OF ORLANDO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:
Authorized Official - Last Name:AMARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-240-1762
Mailing Address - Street 1:PO BOX 568305
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32856-8305
Mailing Address - Country:US
Mailing Address - Phone:407-240-1762
Mailing Address - Fax:407-812-5869
Practice Address - Street 1:3849 OAKWATER CIRCLE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-6264
Practice Address - Country:US
Practice Address - Phone:407-240-1762
Practice Address - Fax:407-812-5869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-16
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL38645OtherBLUECROSS BLUESHIELD
FL38645Medicare ID - Type Unspecified