MEDICARE: EXPERT NEUROSURGICAL SERVICES 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	207T00000X	Neurological Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861961344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXPERT NEUROSURGICAL SERVICES LLC

Provider Business Mailing Address
First Line	:	600 HERITAGE DR STE 105
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-3098
Country	:	US
Telephone Number	:	561-935-9233
Fax Number	:	855-205-7185

Provider Business Practice Location Address
First Line	:	600 HERITAGE DR STE 105
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-3098
Country	:	US
Telephone Number	:	561-935-9233
Fax Number	:	855-205-7185

Authorized Official
Title or Position	:	OWNER
Name	:	BRETT OSBORN
Credential	:	MD
Telephone Number	:	561-935-9233

Provider Enumeration Date	:	11/14/2018
Last Update Date	:	11/14/2018

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Directions to “EXPERT NEUROSURGICAL SERVICES LLC ” Practice Location

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