Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Countryside Neurology Inc

Organization Neurology Physician · NPI 1588834964

Countryside Neurology Inc is a Neurology Physician in Clearwater, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2349 Sunset Point Rd Ste 403
Clearwater, FL 33765-1439
Phone: (727) 712-1567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence ME80114 (FL)

Record details

NPI number1588834964
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ardeshir Khademi-Kemanshahi — President · (727) 712-1567
NPI enumeratedMarch 3, 2008
Last updated in NPPESMarch 3, 2008
Mailing address2349 Sunset Pt Rd Suite 403, Clearwater, FL 34682

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