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NOVA MEDICAL SERVICES - SPECIALTIES DIVISION LLC NPI 1336722321


NPI Information

NPI: 1336722321
Provider Name: NOVA MEDICAL SERVICES - SPECIALTIES DIVISION LLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 10D2193200

Address:
8260 W FLAGLER ST STE 2I
MIAMI, FL
ZIP 33144
Phone: (786) 715-9183
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NOVA MEDICAL SERVICES - SPECIALTIES DIVISION LLC is a neurology psychiatry neurology in Miami, FL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. NOVA MEDICAL SERVICES - SPECIALTIES DIVISION LLC NPI is 1336722321. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8260 W FLAGLER ST STE 2I
MIAMI, FL
ZIP 33144-069
Phone: (786) 715-9183
Fax: (786) 713-1115

The provider's authorized official is Ivan Dario Canas .
The authorized official title is Mgr and has the following contact phone number (786) 715-9183.

The CLIA number assigned to this NPI record is 10D2193200 - other - healthcare center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/28/2021 and was last updated on 1/14/2023.


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
12084N0400XPsychiatry & NeurologyNeurologyYes

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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