Basic Information
| Provider Information | |||||||||
| NPI: | 1821015694 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEGROSKI NEUROLOGY, LLP | ||||||||
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| OtherOrganizationName: | NEGROSKI, SUTHERLAND & HANES NEUROLOGY, LLP | ||||||||
| OtherOrganizationType: | 4 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5741 BEE RIDGE RD STE 530 | ||||||||
| Address2: | |||||||||
| City: | SARASOTA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 342335061 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9414872160 | ||||||||
| FaxNumber: | 9414872168 | ||||||||
| Practice Location | |||||||||
| Address1: | 5741 BEE RIDGE RD STE 530 | ||||||||
| Address2: | |||||||||
| City: | SARASOTA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 342335061 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9414872160 | ||||||||
| FaxNumber: | 9414872168 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/16/2006 | ||||||||
| LastUpdateDate: | 02/15/2018 | ||||||||
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| AuthorizedOfficialLastName: | NEGROSKI | ||||||||
| AuthorizedOfficialFirstName: | DONALD | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 9414872160 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084N0400X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology |
No ID Information.