Provider Demographics
NPI:1811384795
Name:NEUROSURGICAL ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:NEUROSURGICAL ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:CUFFE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-270-9682
Mailing Address - Street 1:22 LAKE BEAUTY DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-2037
Mailing Address - Country:US
Mailing Address - Phone:407-270-9682
Mailing Address - Fax:407-270-9686
Practice Address - Street 1:22 LAKE BEAUTY DR
Practice Address - Street 2:SUITE 301
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2037
Practice Address - Country:US
Practice Address - Phone:407-270-9682
Practice Address - Fax:407-270-9686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-18
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 64345207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty