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Florida: NATIONAL NEURODIAGNOSTIC TECHNOLOGIES INC ORANGE PARK FL 32073-4466 904-737-5792

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NATIONAL NEURODIAGNOSTIC TECHNOLOGIES INC

Allopathic & Osteopathic Physicians Psychiatry & Neurology Clinical Neurophysiology

Provider NPI: 1427101658

Organization Information:
Organization Name:  NATIONAL NEURODIAGNOSTIC TECHNOLOGIES INC
Organization is not Subpart
Authorized Official:  AURELIO A. MUZAURIETA  PRESIDENT/TECHNICAL DIRECTOR  904-737-5792

Practice Location:
1895 KINGSLEY AVE SUITE 1005 ORANGE PARK, FL 32073-4466 US
Tel: 904-737-5792  Fax: 904-737-6541

Business Mailing Address:
PO BOX 1450  ORANGE PARK, FL 32067-1450 US
Tel: 904-737-5792  Fax: 904-737-6541

NPI Information:
NPI: 1427101658
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N2084N0600XAllopathic & Osteopathic Physicians
Psychiatry & Neurology
Clinical Neurophysiology
N231H00000XSpeech, Language and Hearing Service Providers
Audiologist
N2471V0105XTechnologists, Technicians & Other Technical Service Providers
Radiologic Technologist
N246ZE0600XTechnologists, Technicians & Other Technical Service Providers
Specialist/Technologist, Other
Y293D00000XLaboratories
Physiological Laboratory
FLHCC4403

Other Provider Identifiers:

IssuerNumberStateType
E1702FL08