Provider Demographics
NPI:1770867855
Name:NEUROPSYCHOLOGY OF ORLANDO
Entity Type:Organization
Organization Name:NEUROPSYCHOLOGY OF ORLANDO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / NEUROPSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:MAROOF
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:917-881-4719
Mailing Address - Street 1:8767 THE ESPLANADE
Mailing Address - Street 2:SUITE # 39
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32836-8700
Mailing Address - Country:US
Mailing Address - Phone:917-881-4719
Mailing Address - Fax:
Practice Address - Street 1:4800 S APOPKA VINELAND RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-3127
Practice Address - Country:US
Practice Address - Phone:917-881-4719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-06
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty