Provider Demographics
NPI:1184306706
Name:INFINITE NEUROLOGY, PLLC
Entity type:Organization
Organization Name:INFINITE NEUROLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DIDIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-921-1421
Mailing Address - Street 1:PO BOX 530247
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33747-0247
Mailing Address - Country:US
Mailing Address - Phone:512-885-0488
Mailing Address - Fax:877-286-8282
Practice Address - Street 1:112 7TH ST E
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33715-2217
Practice Address - Country:US
Practice Address - Phone:512-885-0488
Practice Address - Fax:877-286-8282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty