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Contact Information

HEARTLAND NEUROLOGY, PLLC
777 W HICKPOCHEE AVE UNIT C
LABELLE, FL33935-4330
 Phone: 863-230-6950
 Fax: 208-275-0119
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for HEARTLAND NEUROLOGY, PLLC

NPI # 1952803298
LBN Legal business name HEARTLAND NEUROLOGY, PLLC
Authorized official JAY GOULD - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/02/2018
Last updated 03/02/2018 - About 8 years ago
Identifiers
FL License # ME117089
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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