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Center For Neuroscience Pl

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

NPI number1124151931
StatusActive
Last updated in NPPESMar 2, 2010

Details

NPI
1124151931
Entity type
Organization (NPI-2)
Legal business name
Center For Neuroscience Pl
Organization subpart
No
Enumeration date
Mar 13, 2007
Last updated
Mar 2, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, NeurologyME72476FLYes
103G00000X Clinical NeuropsychologistPY6865FL
103T00000X PsychologistPY6865FL
103TC0700X Psychologist, ClinicalPY6865FL

Practice location

16244 Military Trl Ste 150
Delray Beach, FL 33484-6505

Phone 561-638-8872 · Fax 561-638-8874

Mailing address

16244 S Military Trl
Suite 150
Delray Beach, FL 33484-6534

Phone 561-638-8872 · Fax 561-638-8874

Authorized official

M Farhan Siddiqui
President
5616388872

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