Neurology Clinics & Research Center PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

0S0006026 Issued in FL

Legal business name

NEUROLOGY CLINICS & RESEARCH CENTER PA

Practice address

5475 Golden Gate Pkwy Ste 4
Naples, FL 34116-7529

Phone

(239) 353-1555

Fax

(239) 353-7001

NPI assigned

May 3, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eshan Kibria, D.O.

Title

Physician/Owner

Phone

(239) 353-1555

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1659547263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 GOLDEN GATE PKWY STE 4",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167529",
            "telephone_number": "239-353-1555",
            "fax_number": "239-353-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 GOLDEN GATE PKWY STE 4",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167529",
            "telephone_number": "239-353-1555",
            "fax_number": "239-353-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY CLINICS & RESEARCH CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-03",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "KIBRIA",
        "authorized_official_first_name": "ESHAN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "239-353-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "0S0006026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "82883",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya Neuhaus Horsten, D.C.
• Stefani L Neumann, MSN, APRN, NP-C
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• Neurocritical Care Specialists Inc
• Neurofenix Medical Group of Florida, Inc.
• Neurology Office Joseph Kandel MD & Associates, PLLC
• Neuropsychology & Memory Center, P.a.
• Neuroscience and Spine Associates PL
• Neuroscience and Spine Associates PL
• Neuroscience and Spine Associates PL

• Neurology Physician in Naples, FL
• Providers in Naples, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.