MEDICARE: SOUTH FLORIDA NEUROLOGY CENTER PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1548194376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH FLORIDA NEUROLOGY CENTER PA

Provider Business Mailing Address
First Line	:	800 N FEDERAL HWY STE 1006
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-2471
Country	:	US
Telephone Number	:	347-771-4560
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 N FEDERAL HWY STE 1006
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-2471
Country	:	US
Telephone Number	:	347-771-4560
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. TAMARA GOODMAN
Credential	:	MD
Telephone Number	:	347-771-4560

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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