Provider Demographics
NPI:1184643199
Name:NEUROLOGY ASSOCIATES, PA
Entity Type:Organization
Organization Name:NEUROLOGY ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ARNALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ISA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-647-5996
Mailing Address - Street 1:301 N. MAITLAND AVE.
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751
Mailing Address - Country:US
Mailing Address - Phone:407-647-5996
Mailing Address - Fax:407-644-5967
Practice Address - Street 1:301 N. MAITLAND AVE.
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751
Practice Address - Country:US
Practice Address - Phone:407-647-5996
Practice Address - Fax:407-644-5967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL99931Medicare ID - Type Unspecified