Provider Demographics
NPI:1598161762
Name:NEUROLOGY SPECIALISTS OF THE TREASURE COAST, PA
Entity Type:Organization
Organization Name:NEUROLOGY SPECIALISTS OF THE TREASURE COAST, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAADIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-888-2611
Mailing Address - Street 1:900 SE OCEAN BLVD
Mailing Address - Street 2:SUITE 220C
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2471
Mailing Address - Country:US
Mailing Address - Phone:772-888-2611
Mailing Address - Fax:855-667-1903
Practice Address - Street 1:900 SE OCEAN BLVD
Practice Address - Street 2:SUITE 220C
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2471
Practice Address - Country:US
Practice Address - Phone:772-888-2611
Practice Address - Fax:855-667-1903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-14
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty