Provider Demographics
NPI:1356721484
Name:NEUROLOGY SERVICES OF FLORIDA
Entity type:Organization
Organization Name:NEUROLOGY SERVICES OF FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-743-5552
Mailing Address - Street 1:5563 S LEWIS AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-7141
Mailing Address - Country:US
Mailing Address - Phone:918-743-5552
Mailing Address - Fax:918-743-5553
Practice Address - Street 1:761 POPLAR ST
Practice Address - Street 2:STE 1-K
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-2082
Practice Address - Country:US
Practice Address - Phone:478-845-6053
Practice Address - Fax:918-743-5553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-03
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty