Healthcare Provider Details

I. General information

NPI: 1235058173
Provider Name (Legal Business Name): DC NEUROLOGY OF SOUTH FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 COW PEN RD STE 305
MIAMI LAKES FL
33014-7625
US

IV. Provider business mailing address

6500 COW PEN RD STE 305
MIAMI LAKES FL
33014-7625
US

V. Phone/Fax

Practice location:
  • Phone: 786-446-9220
  • Fax: 786-446-9221
Mailing address:
  • Phone: 786-446-9220
  • Fax: 786-446-9221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DARGELIS CHI
Title or Position: SELF- OWNER
Credential: MD
Phone: 786-446-9220