Provider Demographics
NPI:1275778151
Name:QUALITY NEUROSURGICAL GROUP PL
Entity Type:Organization
Organization Name:QUALITY NEUROSURGICAL GROUP PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCKALIP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-822-3500
Mailing Address - Street 1:1201 5TH AVE N
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-1400
Mailing Address - Country:US
Mailing Address - Phone:727-822-3500
Mailing Address - Fax:727-822-3228
Practice Address - Street 1:1201 5TH AVE N
Practice Address - Street 2:SUITE 210
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-1400
Practice Address - Country:US
Practice Address - Phone:727-822-3500
Practice Address - Fax:727-822-3228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty