Provider Demographics
NPI:1659964104
Name:NEUROLOGY & MOVEMENT DISORDERS HEALTHCARE, PA
Entity Type:Organization
Organization Name:NEUROLOGY & MOVEMENT DISORDERS HEALTHCARE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAEZ-TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-325-5910
Mailing Address - Street 1:2291 GLENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-3311
Mailing Address - Country:US
Mailing Address - Phone:407-627-1325
Mailing Address - Fax:407-734-1052
Practice Address - Street 1:2291 GLENWOOD DR
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3311
Practice Address - Country:US
Practice Address - Phone:407-627-1325
Practice Address - Fax:407-734-1052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-16
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty