Provider Demographics
NPI:1497992242
Name:NEUROHEALTH CENTER LLC
Entity type:Organization
Organization Name:NEUROHEALTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:A
Authorized Official - Last Name:RODAS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:386-334-2524
Mailing Address - Street 1:755 STIRLING CENTER PL
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-5714
Mailing Address - Country:US
Mailing Address - Phone:407-878-3704
Mailing Address - Fax:
Practice Address - Street 1:755 STIRLING CENTER PL
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-5714
Practice Address - Country:US
Practice Address - Phone:407-878-3704
Practice Address - Fax:407-878-3705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-15
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS0004804207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty