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NPI Code Detail

MEDICARE: OHIO FUNCTIONAL NEUROLOGICAL ASSOCIATES LLC

MEDICARE: OHIO FUNCTIONAL NEUROLOGICAL ASSOCIATES LLC
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
12084N0400XNeurology Physician

General Provider Information

NPI Number : 1699564559
Entity Type Code : Organization
Provider Name (Legal Business Name) : OHIO FUNCTIONAL NEUROLOGICAL ASSOCIATES LLC
Provider Business Mailing Address
First Line : PO BOX 64
Second Line :
City : RICHFIELD
State : OH
Zip : 44286-0064
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2401 SCRANTON RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-4313
Country : US
Telephone Number : 614-954-1141
Fax Number : 216-586-6780
Authorized Official
Title or Position : MEMBER
Name : DR. ALEX FRANTZIS
Credential : DC
Telephone Number : 614-954-1141
Provider Enumeration Date : 05/06/2025
Last Update Date : 05/06/2025

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Directions to “OHIO FUNCTIONAL NEUROLOGICAL ASSOCIATES LLC ” Practice Location

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