MEDICARE: NEUROLOGICAL TESTING CENTERS OF AMERICA 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
1	208100000X	Physical Medicine & Rehabilitation Physician	HCC4519	FL
2	208VP0014X	Interventional Pain Medicine Physician
3	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1215099528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROLOGICAL TESTING CENTERS OF AMERICA INC.

Provider Business Mailing Address
First Line	:	10000 STIRLING ROAD
Second Line	:	SUITE 1
City	:	COOPER CITY
State	:	FL
Zip	:	33024-8067
Country	:	US
Telephone Number	:	954-748-7474
Fax Number	:	954-748-7772

Provider Business Practice Location Address
First Line	:	10000 STIRLING ROAD
Second Line	:	SUITE 1
City	:	COOPER CITY
State	:	FL
Zip	:	33024-8067
Country	:	US
Telephone Number	:	954-748-7474
Fax Number	:	954-748-7772

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DR. FARAZ KHURSHEED
Credential	:	M.D.
Telephone Number	:	954-748-7474

Provider Enumeration Date	:	12/14/2006
Last Update Date	:	02/20/2023

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