Healthcare Provider Details

I. General information

NPI: 1114503372
Provider Name (Legal Business Name): NEUROKIDS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2021
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15800 PINES BLVD UNIT 343
PEMBROKE PINES FL
33027-1212
US

IV. Provider business mailing address

15800 PINES BLVD UNIT 343
PEMBROKE PINES FL
33027-1212
US

V. Phone/Fax

Practice location:
  • Phone: 305-425-1105
  • Fax:
Mailing address:
  • Phone: 305-425-1105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2080P0008X
TaxonomyPediatric Neurodevelopmental Disabilities Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. PAULA KARINA DE LA ROTTA
Title or Position: PRESIDENT
Credential: PSYD, LMHC
Phone: 305-336-6950