MEDICARE: COMPREHENSIVE NEUROLOGY CLINIC PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician
2	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician
3	2084N0400X	Neurology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528285749
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE NEUROLOGY CLINIC PA

Provider Business Mailing Address
First Line	:	10967 LAKE UNDERHILL RD
Second Line	:	SUITE 148
City	:	ORLANDO
State	:	FL
Zip	:	32825-4457
Country	:	US
Telephone Number	:	407-208-0708
Fax Number	:	407-208-0709

Provider Business Practice Location Address
First Line	:	10967 LAKE UNDERHILL RD
Second Line	:	SUITE 148
City	:	ORLANDO
State	:	FL
Zip	:	32825-4457
Country	:	US
Telephone Number	:	407-208-0708
Fax Number	:	407-208-0709

Authorized Official
Title or Position	:	OWNER
Name	:	DINA DAHAN
Credential	:	MD
Telephone Number	:	407-208-0708

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	09/17/2013

Similar Medicare Providers

1629079413 — ADRIANA GARCIA ARNP
Practice Location Address:

10967 LAKE UNDERHILL RD , STE117
ORLANDO, FL
32825-4457

Practice Phone: 407-249-3016
Practice Fax:

1447243514 — FLORIN N. GADALEAN M.D.
Practice Location Address:

10967 LAKE UNDERHILL RD , SUITE 105
ORLANDO, FL
32825-4457

Practice Phone: 407-515-2250
Practice Fax: 407-309-5438

1720179393 — REFAAT EL-SAID M.D.
Practice Location Address:

10967 LAKE UNDERHILL RD , SUITE 148
ORLANDO, FL
32825-4457

Practice Phone: 407-208-0708
Practice Fax: 407-208-0709

1093806655 — DINA DAHAN M.D.
Practice Location Address:

10967 LAKE UNDERHILL RD , SUITE 148
ORLANDO, FL
32825-4457

Practice Phone: 407-208-0708
Practice Fax: 407-208-0709

1689765265 — ORLANDO FAMILY PRACTICE CARE PA
Practice Location Address:

10967 LAKE UNDERHILL RD , STE 122
ORLANDO, FL
32825-4457

Practice Phone: 407-282-3131
Practice Fax: 407-282-3139

1851414668 — SCOTT BRAY A.P.,L.AC.
Practice Location Address:

10967 LAKE UNDERHILL RD , SUITE 109
ORLANDO, FL
32825-4457

Practice Phone: 407-658-1341
Practice Fax: 407-704-1576

Directions to “COMPREHENSIVE NEUROLOGY CLINIC PA ” Practice Location

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