Provider Demographics
NPI:1750867115
Name:QUALITY NEUROLOGY LLC
Entity Type:Organization
Organization Name:QUALITY NEUROLOGY LLC
Other - Org Name:QUALITY NEUROLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUCAS
Authorized Official - Middle Name:JURGEN
Authorized Official - Last Name:BEEREPOOT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-478-4700
Mailing Address - Street 1:PO BOX 141448
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32614-1448
Mailing Address - Country:US
Mailing Address - Phone:352-478-4700
Mailing Address - Fax:352-225-3399
Practice Address - Street 1:6800 NW 9TH BLVD STE 2
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4253
Practice Address - Country:US
Practice Address - Phone:352-478-4700
Practice Address - Fax:352-225-3399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-18
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2084N0400X
FLME111124261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty