Healthcare Provider Details

I. General information

NPI: 1821480419
Provider Name (Legal Business Name): MS & NEUROMUSCULAR CENTER OF EXCELLENCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2015
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3190 N MCMULLEN BOOTH RD STE 200
CLEARWATER FL
33761-2013
US

IV. Provider business mailing address

3190 N MCMULLEN BOOTH RD STE 200
CLEARWATER FL
33761-2013
US

V. Phone/Fax

Practice location:
  • Phone: 813-855-2900
  • Fax: 813-855-2990
Mailing address:
  • Phone: 813-855-2900
  • Fax: 813-855-2990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JEAN-RAPHAEL SCHNEIDER
Title or Position: AO
Credential: MD
Phone: 727-723-5522