NPI | 1831224872 |
---|---|
Former Legal Business Name | SOUTH BAY PRIMARY NEUROLOGY CARE, P.A. |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER LINTAO VALENCIA President 813-634-3323 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist |
Enumeration Date | 2007-02-22 |
Last Update Date | 2020-08-22 |