OrganizationChildhood Neurosurgery & Center For Hydrocephalus, PaNeurological SurgeryAllopathic & Osteopathic PhysiciansPractice Address58 W Michigan St, Orlando, FL 32806-4453(407) 649-7686PECOS EnrollmentBased on the most recent information from CMS, provider Childhood Neurosurgery & Center For Hydrocephalus, Pa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1508071317Provider TypeOrganizationFull NameChildhood Neurosurgery & Center For Hydrocephalus, PaSubpartNoEnumeration Date5/14/2007Last Updated12/21/2007Contact InformationPractice LocationPractice Address58 W Michigan St, Orlando, FL 32806-4453Phone(407) 649-7686FaxUnlisted FaxMailing LocationMailing Address58 W Michigan St, Orlando, FL 32806-4453Phone(407) 649-7686FaxUnlisted FaxAuthorized OfficialNamePattisapu, Jogi V (Board Of Directors)Phone(407) 649-7686Provider TaxonomiesCodeDescriptionLicenseCode207T00000XPrimaryDescriptionNeurological SurgeryAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer