Organization Name: | MEDICAL NEURODIAGNOSTICS & NEUROLOGY PL |
NPI Number: | 1134443583 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RON BAUGH (PRESIDENT) |
Mailing Address: | 1536 Kingsley Ave Ste 116 Orange Park |
State: | FL US |
Postal Code: | 320734525 |
Phone Number: | 9047235665 |
Fax Number: | 9043380951 |
NPI Enumeration Date: | 03/15/2010 |
NPI Last Update Date: | 07/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PA9101871 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |