Healthcare Provider Details

I. General information

NPI: 1942497748
Provider Name (Legal Business Name): NEUBAUER HYPERBARIC NEUROLOGIC CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2007
Last Update Date: 09/16/2020
Certification Date: 09/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 S FEDERAL HWY STE 100
POMPANO BEACH FL
33062-5944
US

IV. Provider business mailing address

660 S FEDERAL HWY STE 100
POMPANO BEACH FL
33062-5944
US

V. Phone/Fax

Practice location:
  • Phone: 954-771-0000
  • Fax: 954-776-0670
Mailing address:
  • Phone: 954-771-4000
  • Fax: 954-779-0670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EMILIO CASTANEDA
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 954-771-4000