MEDICARE: ZENITH NEUROPSYCHOLOGY 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
1	103G00000X	Clinical Neuropsychologist

General Provider Information

NPI Number	:	1730806456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZENITH NEUROPSYCHOLOGY LLC

Provider Business Mailing Address
First Line	:	410 S WARE BLVD # 800-22
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-4469
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 S WARE BLVD STE 814
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-4456
Country	:	US
Telephone Number	:	813-483-9989
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	DR. PRECIOUS OGU
Credential	:	PH.D.
Telephone Number	:	713-498-4229

Provider Enumeration Date	:	10/24/2022
Last Update Date	:	03/02/2025

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