| Entity Name: | NEUROLOGY AND ELECTROMYOGRAPHY CONSULTANTS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Apr 1991 (34 years ago) |
| Document Number: | S47488 |
| FEI/EIN Number | 593061928 |
| Address: | 1400 S. ORLANDO AVENUE, SUITE 301, WINTER PARK, FL, 32789 |
| Mail Address: | 1400 S. ORLANDO AVENUE, SUITE 301, WINTER PARK, FL, 32789 |
| ZIP code: | 32789 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952417552 | 2006-08-23 | 2010-01-26 | 1400 S ORLANDO AVE, WINTER PARK, FL, 327895543, US | 1400 S ORLANDO AVE, WINTER PARK, FL, 327895543, US | |||||||||||||||||||||
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| Phone | +1 407-645-3151 |
| Fax | 4076452179 |
Authorized person
| Name | DR. RONALD EDWARD OPPENHEIM |
| Role | PRESIDENT |
| Phone | 4076453151 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 254698100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Oppenheim Ronald | Agent | 1400 S. ORLANDO AVENUE, WINTER PARK, FL, 32789 |
| Name | Role | Address |
|---|---|---|
| OPPENHEIM, RONALD E. | President | 1400 S. ORLANDO AVENUE, WINTER PARK, FL |
| Name | Role | Address |
|---|---|---|
| OPPENHEIM, RONALD E. | Treasurer | 1400 S. ORLANDO AVENUE, WINTER PARK, FL |
| Name | Role | Address |
|---|---|---|
| OPPENHEIM, RONALD E. | Director | 1400 S. ORLANDO AVENUE, WINTER PARK, FL |
| ARAGON ERIK | Director | 1400 S. ORLANDO AVE., WINTER PARK, FL |
| Name | Role | Address |
|---|---|---|
| ARAGON ERIK | Secretary | 1400 S. ORLANDO AVE., WINTER PARK, FL |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
