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NPI Code Detail

MEDICARE: SOUTH FLORIDA NEUROSURGICAL INSTITUTE INC

MEDICARE: SOUTH FLORIDA NEUROSURGICAL INSTITUTE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistME67040FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CK2719OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
397142OTHERFLBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1134315773
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH FLORIDA NEUROSURGICAL INSTITUTE INC
Provider Business Mailing Address
First Line : 7710 NW 71ST CT
Second Line : SUITE 205
City : TAMARAC
State : FL
Zip : 33321-2973
Country : US
Telephone Number : 954-376-7330
Fax Number : 954-720-2799
Provider Business Practice Location Address
First Line : 7710 NW 71ST CT
Second Line : SUITE 205
City : TAMARAC
State : FL
Zip : 33321-2973
Country : US
Telephone Number : 954-376-7330
Fax Number : 954-720-2799
Authorized Official
Title or Position : PRESIDENT
Name : DR. ANTHONY J HALL
Credential : MD
Telephone Number : 954-376-7330
Provider Enumeration Date : 09/18/2007
Last Update Date : 04/12/2011

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Directions to “SOUTH FLORIDA NEUROSURGICAL INSTITUTE INC ” Practice Location

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