Provider Type Icon

NEUROLOGY CONSULTANTS OF SOUTH FLORIDA INC NPI 1417017823


NPI Information

NPI: 1417017823
Provider Name: NEUROLOGY CONSULTANTS OF SOUTH FLORIDA INC
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
4160 W 16TH AVE
SUITE 100
HIALEAH, FL
ZIP 33012
Phone: (305) 826-5655
Get Directions

NEUROLOGY CONSULTANTS OF SOUTH FLORIDA INC is a neurology with special qualifications in child neurology psychiatry neurology in Hialeah, FL. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. NEUROLOGY CONSULTANTS OF SOUTH FLORIDA INC NPI is 1417017823. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4160 W 16TH AVE
SUITE 100
HIALEAH, FL
ZIP 33012-853
Phone: (305) 826-5655
Fax: (305) 826-5598

The provider's authorized official is Martha Bustamante .
The authorized official title is President and has the following contact phone number (305) 826-5655.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 7/19/2010.


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
12084N0008XPsychiatry & NeurologyNeuromuscular MedicineME58534FLORIDANo
22084P0005XPsychiatry & NeurologyNeurodevelopmental DisabilitiesME58534FLORIDANo
32084N0400XPsychiatry & NeurologyNeurologyME58534FLORIDANo
42084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyME58534FLORIDAYes

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
199443OTHERFLORIDABLUE CROSS BLUE SHIELD FL

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.