Healthcare Provider Details

I. General information

NPI: 1619848132
Provider Name (Legal Business Name): NEURO POWER CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7093 58TH ST N BLDG 8
PINELLAS PARK FL
33781-4202
US

IV. Provider business mailing address

10801 STARKEY RD STE 104-330
SEMINOLE FL
33777-1159
US

V. Phone/Fax

Practice location:
  • Phone: 727-655-8611
  • Fax:
Mailing address:
  • Phone: 727-655-8611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: ALID OBED PEREZ III
Title or Position: CEO
Credential: DC
Phone: 727-655-8611