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Contact Information

NEUROEDGE MEDICAL LLC
127 W FAIRBANKS AVE # 180
WINTER PARK, FL32789
 Phone: 877-479-4004
 Fax: 407-440-1820
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Electroneurodiagnostic

246ZE0600X
Indicates primary specialty

NPI Profile & details for NEUROEDGE MEDICAL LLC · (Female)

NPI # 1083169122
Status Active
Credentials
Entity Individual
Enumeration date 08/18/2016
Last updated 01/21/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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