Healthcare Provider Details
I. General information
NPI: 1568366185
Provider Name (Legal Business Name): NEUROSURGICAL CONSULTANTS OF SOUTH FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12983 SOUTHERN BLVD STE 205
LOXAHATCHEE FL
33470-9207
US
IV. Provider business mailing address
4675 LINTON BLVD STE 102
DELRAY BEACH FL
33445-6615
US
V. Phone/Fax
- Phone: 561-501-7445
- Fax: 561-562-5061
- Phone: 561-501-7445
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207T00000X |
| Taxonomy | Neurological Surgery Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
LLOYD
ZUCKER
Title or Position: OWNER
Credential:
Phone: 561-501-7445