NPI 1720637317
Neurophysiology Diagnostic Center LLC
Practice location
- Address
- 4102 N Macdill Ave Unit B, Tampa, FL 33607-6717
- Phone
- (813) 871-2853
- Fax
- (813) 877-1609
Authorised official
- Name
- Rafael Miguel Rodriguez
- Title
- Manager/Owner
- Phone
- (813) 871-2853
Registered specialties
Physiological Laboratory
Primary
Registry record
- NPI
- 1720637317
- Entity type
- Organization
- NPI issued
- 6 Sep 2019
- Record last updated
- 9 Sep 2019
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.