Healthcare Provider Details
I. General information
NPI: 1245996586
Provider Name (Legal Business Name): NEUROSURGERY RESEARCH & ANALYTICS CHARTERED
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/10/2021
Last Update Date: 10/12/2024
Certification Date: 10/12/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2323 CURLEW RD STE 6B
DUNEDIN FL
34698-9307
US
IV. Provider business mailing address
3997 MIMOSA PL
PALM HARBOR FL
34685
US
V. Phone/Fax
- Phone: 727-332-6221
- Fax: 727-470-9684
- Phone: 812-251-7871
- Fax: 727-474-6527
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 204D00000X |
| Taxonomy | Neuromusculoskeletal Medicine & OMM Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207T00000X |
| Taxonomy | Neurological Surgery Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
PRADEEP
K
NAROTAM
Title or Position: OWNER
Credential: MD, MMED, PHD
Phone: 727-332-9024