Healthcare Provider Details

I. General information

NPI: 1952586661
Provider Name (Legal Business Name): NEUROLOGY ASSOCIATES GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2008
Last Update Date: 01/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

152 NE 167TH ST SUITE 101
NORTH MIAMI BEACH FL
33162-3400
US

IV. Provider business mailing address

152 NE 167TH ST SUITE 200
NORTH MIAMI BEACH FL
33162-3400
US

V. Phone/Fax

Practice location:
  • Phone: 305-949-9866
  • Fax: 305-949-4844
Mailing address:
  • Phone: 305-770-9990
  • Fax: 305-770-1814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberHCCR 139
License Number StateFL

VIII. Authorized Official

Name: MR. DAVID ROBBINS
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 305-770-9990