MEDICARE: DR. ALAN BORENSTEIN M.D.

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	2084N0400X	Neurology Physician	12225	FL

General Provider Information

NPI Number	:	1508842493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN BORENSTEIN M.D.

Provider Business Mailing Address
First Line	:	3001 NW 49TH AVE
Second Line	:	SUITE 204
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33313-7266
Country	:	US
Telephone Number	:	954-739-8484
Fax Number	:	954-739-1581

Provider Business Practice Location Address
First Line	:	3001 NW 49TH AVE
Second Line	:	SUITE 204
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33313-7266
Country	:	US
Telephone Number	:	954-739-8484
Fax Number	:	954-739-1581

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	07/08/2007

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