Healthcare Provider Details

I. General information

NPI: 1215099528
Provider Name (Legal Business Name): NEUROLOGICAL TESTING CENTERS OF AMERICA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 02/20/2023
Certification Date: 02/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 STIRLING ROAD SUITE 1
COOPER CITY FL
33024-8067
US

IV. Provider business mailing address

10000 STIRLING ROAD SUITE 1
COOPER CITY FL
33024-8067
US

V. Phone/Fax

Practice location:
  • Phone: 954-748-7474
  • Fax: 954-748-7772
Mailing address:
  • Phone: 954-748-7474
  • Fax: 954-748-7772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberHCC4519
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. FARAZ KHURSHEED
Title or Position: OWNER/PHYSICIAN
Credential: M.D.
Phone: 954-748-7474