Whalio Doctors

NPI 1649504515

Neuro Dx Services LLC

Organisation Electrodiagnostic Medicine Physician Fort Myers, FL

Practice location

Address
8801 College Pkwy Suite 2, Fort Myers, FL 33919-4882
Phone
(239) 482-0300
Fax
(239) 482-4757
Mailing address
15880 Summerlin Rd STE 300 Pmb 106, Fort Myers, FL 33908-9613

Authorised official

Name
George S Petryk
Title
President
Phone
(239) 482-0300

Registered specialties (4)

Electrodiagnostic Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204R00000X Licence OS7123 (FL)
Neurology Chiropractor
Chiropractic Providers Taxonomy 111NN0400X Licence CH8431 (FL)
General Practice Physician
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence OS7123 (FL)
Physiological Laboratory
Laboratories Taxonomy 293D00000X

Registry record

NPI
1649504515
Entity type
Organization
NPI issued
25 Sep 2009
Record last updated
14 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.