Provider Demographics
NPI:1144033424
Name:TAMPA BAY NEUROLOGY CENTER
Entity type:Organization
Organization Name:TAMPA BAY NEUROLOGY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALAMELU
Authorized Official - Middle Name:
Authorized Official - Last Name:MURUGAPPAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-810-0997
Mailing Address - Street 1:2649 WINDGUARD CIR STE 101
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-7358
Mailing Address - Country:US
Mailing Address - Phone:352-806-5848
Mailing Address - Fax:352-608-9036
Practice Address - Street 1:2649 WINDGUARD CIR STE 101
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-7358
Practice Address - Country:US
Practice Address - Phone:352-806-5848
Practice Address - Fax:352-608-9036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty