FLORIDA NERVE MED LLC NPI 1417294158

NPI Information

  • NPI: 1417294158
  • Provider Name: FLORIDA NERVE MED LLC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 8198 S JOG RD
    #100
    BOYNTON BEACH, FL
    ZIP 33472
  • Phone: (561) 602-6191

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NPI Details

FLORIDA NERVE MED LLC is a neurology psychiatry neurology in Boynton Beach, 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. FLORIDA NERVE MED LLC NPI is 1417294158. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

8198 S JOG RD
#100
BOYNTON BEACH, FL
ZIP 33472-900
Phone: (561) 602-6191
Fax: (561) 429-3630

The provider's authorized official is Hildegarde Geisse .
The authorized official title is Owner and has the following contact phone number (561) 310-7759.

The enumeration date for this NPI number is 1/15/2013 and was last updated on 3/16/2015.

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
12084N0600XPsychiatry & NeurologyClinical NeurophysiologyME96190FLORIDANo
22084N0008XPsychiatry & NeurologyNeuromuscular MedicineME96190FLORIDANo
3204R00000XElectrodiagnostic MedicineME96190FLORIDANo
42084N0400XPsychiatry & NeurologyNeurologyME96190FLORIDAYes

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
1ME96190OTHERFLORIDAMEDICAL LICENSE

What is NPI?

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This page was last updated on: 11/21/2025

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