Provider Demographics
NPI:1306183975
Name:NEUROLOGICAL SOLUTIONS PA
Entity Type:Organization
Organization Name:NEUROLOGICAL SOLUTIONS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SPIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-787-7077
Mailing Address - Street 1:31608 US HIGHWAY 19 N
Mailing Address - Street 2:SUITE A
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-3723
Mailing Address - Country:US
Mailing Address - Phone:727-787-7077
Mailing Address - Fax:727-768-6588
Practice Address - Street 1:31608 US HIGHWAY 19 N
Practice Address - Street 2:SUITE A
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-3723
Practice Address - Country:US
Practice Address - Phone:727-787-7077
Practice Address - Fax:727-768-6588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME450632084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL62538Medicare PIN