Healthcare Provider Details

I. General information

NPI: 1922549674
Provider Name (Legal Business Name): THE NEUROLOGY INSTITUTE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2017
Last Update Date: 11/10/2023
Certification Date: 09/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5441 N UNIVERSITY DR STE 101
CORAL SPRINGS FL
33067-4640
US

IV. Provider business mailing address

5441 N UNIVERSITY DR STE 101
CORAL SPRINGS FL
33067-4640
US

V. Phone/Fax

Practice location:
  • Phone: 954-803-9002
  • Fax: 954-933-2305
Mailing address:
  • Phone: 954-803-9002
  • Fax: 954-933-2305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 9
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 10
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: SONIA KAUR KALIRAO
Title or Position: PRESIDENT OWNER
Credential: MD
Phone: 954-803-9002