MEDICARE: NEUROLOGICAL HEALTH ASSOCIATES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	ME95934	FL

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083874358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROLOGICAL HEALTH ASSOCIATES

Provider Business Mailing Address
First Line	:	6735 CONROY RD SUITE 229
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835
Country	:	US
Telephone Number	:	407-581-8640
Fax Number	:	407-581-8659

Provider Business Practice Location Address
First Line	:	1114 CYPRESS GLEN CIRCLE
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34741
Country	:	US
Telephone Number	:	407-581-8640
Fax Number	:	407-581-8659

Authorized Official
Title or Position	:	BILLING
Name	:	MR. MICHAEL MARKOWSKI
Credential	:
Telephone Number	:	407-581-8640

Provider Enumeration Date	:	06/11/2008
Last Update Date	:	04/03/2018

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Directions to “NEUROLOGICAL HEALTH ASSOCIATES ” Practice Location

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