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NEUROLOOGICIAL NEUROSURGICAL PAIN MANAGEMENT CENTER INC NPI 1639156292


NPI Information

NPI: 1639156292
Provider Name: NEUROLOOGICIAL NEUROSURGICAL PAIN MANAGEMENT CENTER INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
8390 W FLAGLER ST
STE 107
MIAMI, FL
ZIP 33144
Phone: (305) 551-8121
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NEUROLOOGICIAL NEUROSURGICAL PAIN MANAGEMENT CENTER INC is a specialist in Miami, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NEUROLOOGICIAL NEUROSURGICAL PAIN MANAGEMENT CENTER INC NPI is 1639156292. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8390 W FLAGLER ST
STE 107
MIAMI, FL
ZIP 33144-039
Phone: (305) 551-8121
Fax: (305) 551-7603

The provider's authorized official is Richard O Gershanik .
The authorized official title is President and has the following contact phone number (305) 551-8127.

The enumeration date for this NPI number is 12/27/2005 and was last updated on 5/13/2008.


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
1174400000XSpecialistYes

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
1ME0053136OTHERFLORIDAFL. MEDICAL LICENSE

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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