Healthcare Provider Details

I. General information

NPI: 1548194376
Provider Name (Legal Business Name): SOUTH FLORIDA NEUROLOGY CENTER PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N FEDERAL HWY STE 1006
HALLANDALE BEACH FL
33009-2471
US

IV. Provider business mailing address

800 N FEDERAL HWY STE 1006
HALLANDALE BEACH FL
33009-2471
US

V. Phone/Fax

Practice location:
  • Phone: 347-771-4560
  • Fax:
Mailing address:
  • Phone: 347-771-4560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TAMARA GOODMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 347-771-4560