Individual ProviderJogi V. PattisapuNeurological SurgeryAllopathic & Osteopathic PhysiciansPractice Address80 Bonnie Loch Ct, Orlando, FL 32806-2908(407) 730-3102PECOS EnrollmentBased on the most recent information from CMS, provider Jogi V. Pattisapu 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 ID1598707101Provider TypeIndividualFull NamePattisapu, Jogi V.TitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date6/11/2006Last Updated10/4/2011Contact InformationPractice LocationPractice Address80 Bonnie Loch Ct, Orlando, FL 32806-2908Phone(407) 730-3102Fax(407) 730-3105Mailing LocationMailing Address80 Bonnie Loch Ct, Orlando, FL 32806-2908Phone(407) 730-3102Fax(407) 730-3105Provider TaxonomiesCodeDescriptionLicenseCode207T00000XPrimaryDescriptionNeurological SurgeryAllopathic & Osteopathic PhysiciansLicenseME 0058285FloridaProvider IdentifiersIDDescriptionIssuerID063602900DescriptionMedicaidIssuerUnlistedFlorida