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NPI Code Detail

MEDICARE: ACADEMY OF NEUROSURGICAL PHYSICIANS, INC.

MEDICARE: ACADEMY OF NEUROSURGICAL PHYSICIANS, 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
1174400000XSpecialist

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2140007991OTHERFLRAILROAD 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

General Provider Information

NPI Number : 1235591009
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACADEMY OF NEUROSURGICAL PHYSICIANS, INC.
Provider Business Mailing Address
First Line : 1685 S STATE ROAD 7 STE 4
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33023-6721
Country : US
Telephone Number : 954-459-6000
Fax Number : 954-459-3333
Provider Business Practice Location Address
First Line : 1685 S STATE ROAD 7 STE 4
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33023-6721
Country : US
Telephone Number : 954-459-6000
Fax Number : 954-459-3333
Authorized Official
Title or Position : PRESIDENT
Name : ANTHONY JAMES HALL
Credential : MD
Telephone Number : 954-459-4600
Provider Enumeration Date : 03/22/2016
Last Update Date : 06/02/2024

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