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MIAMI STROKE LLC NPI 1215475025


NPI Information

NPI: 1215475025
Provider Name: MIAMI STROKE, LLC
Classification: Psychiatry & Neurology - 2084V0102X
Entity Type: Organization

Specialization: Vascular Neurology

Address:
11750 SW 40TH ST
MIAMI, FL
ZIP 33175
Phone: (305) 235-9550
Get Directions

MIAMI STROKE, LLC is a vascular neurology psychiatry neurology in Miami, FL. The provider is vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. MIAMI STROKE, LLC NPI is 1215475025. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11750 SW 40TH ST
MIAMI, FL
ZIP 33175-530
Phone: (305) 235-9550

The provider's authorized official is Jennifer Colen .
The authorized official title is Credentialing Manager and has the following contact phone number (305) 235-9550.

The enumeration date for this NPI number is 2/1/2017 and was last updated on 3/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084V0102XPsychiatry & NeurologyVascular NeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
123588ROTHERFLORIDAP-TAN
2374074900MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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