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Contact Information

NEURO DX SERVICES LLC
8801 COLLEGE PKWY
SUITE 2
FORT MYERS, FL33919-4882
 Phone: 239-482-0300
 Fax: 239-482-4757
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Electrodiagnostic Medicine

204R00000X
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Neurology

111NN0400X 35 Chiropractic
 

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for NEURO DX SERVICES LLC · (Female)

NPI # 1649504515
Status Active
Credentials
Entity Individual
Enumeration date 09/25/2009
Last updated 06/14/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # CH8431
  • FL License # OS7123
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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