MEDICARE: NERVE PROTECTION SPECIALISTS LLC

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	246ZE0600X	Electroneurodiagnostic Specialist/Technologist

General Provider Information

NPI Number	:	1760075105
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NERVE PROTECTION SPECIALISTS LLC

Provider Business Mailing Address
First Line	:	3355 BURNS RD STE 304
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4357
Country	:	US
Telephone Number	:	855-853-6542
Fax Number	:	561-729-0148

Provider Business Practice Location Address
First Line	:	3355 BURNS RD STE 304
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4357
Country	:	US
Telephone Number	:	855-853-6542
Fax Number	:	561-729-0148

Authorized Official
Title or Position	:	OWNER
Name	:	SCOTT STEVEN KATZMAN
Credential	:	MD
Telephone Number	:	855-853-6542

Provider Enumeration Date	:	02/17/2021
Last Update Date	:	08/20/2021

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