CHILD NEUROLOGY LLC NPI 1710924956

NPI Information

NPI: 1710924956
Provider Name: CHILD NEUROLOGY LLC
Classification: Psychiatry & Neurology - 2084N0402X
Specialization: Neurology with Special Qualifications in Child Neurology
Entity Type: Organization
Address: 4440 SHERIDAN STREET
HOLLYWOOD, FL
ZIP 33021
Phone: (954) 961-2423

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NPI Details

CHILD NEUROLOGY LLC is a neurology with special qualifications in child neurology psychiatry neurology in Hollywood, 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. CHILD NEUROLOGY LLC NPI is 1710924956. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4440 SHERIDAN STREET
HOLLYWOOD, FL
ZIP 33021
Phone: (954) 961-2423
Fax: (954) 961-4860

The provider's authorized official is Tatyana Dubrovsky .
The authorized official title is Manager Of The Child Neurology Llc and has the following contact phone number (954) 961-2423.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 5/16/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	ME70907	FLORIDA	Yes

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
1	276469500	MEDICAID	FLORIDA
2	276469500	OTHER	FLORIDA	FL NETPASS
3	77841	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD
4	276469500	OTHER	FLORIDA	PEDIATRIC ASSOCIATES PSN

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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