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General NPI Number Information
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NPI Number | 1902755051
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Entity Type | Organization
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Legal Business Name | SOUTHERN FLORIDA BRAIN AND SPINE, PA
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 1650 NE 26TH ST STE 200
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City | WILTON MANORS
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State | FL
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Zip | 33305-1449
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Country | US
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Telephone | 754-732-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 429 COCONUT ISLE DR
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-2425
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALI J GHODS
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Credential | MD
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Telephone | 999-999-9999
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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 |
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