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Neurology Associates Of South Florida LLC

Psychiatry & Neurology, Neurology in Plantation, FL. Organization (NPI-2).

NPI number1023133097
StatusActive
Last updated in NPPESMar 18, 2011

Details

NPI
1023133097
Entity type
Organization (NPI-2)
Legal business name
Neurology Associates Of South Florida LLC
Organization subpart
No
Enumeration date
Mar 20, 2007
Last updated
Mar 18, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology––Yes

Practice location

201 Nw 82nd Ave
Suite 502
Plantation, FL 33324-7808

Phone 954-236-6602 · Fax 954-236-8045

Mailing address

Po Box 824007
Pembroke Pines, FL 33082-4007

Phone 954-236-6602 · Fax 954-236-8045

Authorized official

Roy De Basish
Office Manager
9542366602

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