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General NPI Number Information
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NPI Number | 1013975291
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Entity Type | Organization
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Legal Business Name | NEUROSURGICAL CONSULTANTS OF SOUTH FLORIDA, LLC
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 12/11/2018
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Provider Practice Location Address
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Address Line | 4800 LINTON BLVD STE E310
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City | DELRAY BEACH
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State | FL
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Zip | 33445
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Country | US
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Telephone | 561-501-7445
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 LINTON BLVD STE E310
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City | DELRAY BEACH
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State | FL
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Zip | 33445-6500
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Country | US
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Telephone | 561-501-7445
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | LLOYD ZUCKER
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Credential | MD
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Telephone | 561-499-5633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State | FL
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