INTERVENTIONAL NEUROLOGY NPI 1417165101

NPI Information

  • NPI: 1417165101
  • Provider Name: INTERVENTIONAL NEUROLOGY
  • Classification: Psychiatry & Neurology - 2084P2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Address: 11880 SW 40TH ST
    SUITE 18
    MIAMI, FL
    ZIP 33175
  • Phone: (305) 670-7650

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NPI Details

INTERVENTIONAL NEUROLOGY is a pain medicine psychiatry neurology in Miami, FL. The provider is a neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. INTERVENTIONAL NEUROLOGY NPI is 1417165101. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

11880 SW 40TH ST
SUITE 18
MIAMI, FL
ZIP 33175-574
Phone: (305) 670-7650
Fax: (305) 670-7657

The provider's authorized official is Antonio Mesa .
The authorized official title is Doctor and has the following contact phone number (305) 670-7650.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 10/27/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyOS8711FLORIDANo
22084P2900XPsychiatry & NeurologyPain MedicineOS8711FLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K5999MEDICARE PIN
2H78178MEDICARE UPINFLORIDA

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: 11/21/2025

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