Provider Demographics
NPI:1114957750
Name:NORMAN FLATEN TODD & HAMMOND NEUROLOGIC CONSULTANTS PA
Entity Type:Organization
Organization Name:NORMAN FLATEN TODD & HAMMOND NEUROLOGIC CONSULTANTS PA
Other - Org Name:NEUROLOGIC CONSULTANTS PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROSENZWEIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-784-0330
Mailing Address - Street 1:150 EAST SAMPLE ROAD
Mailing Address - Street 2:SUITE 330
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-3550
Mailing Address - Country:US
Mailing Address - Phone:954-784-0330
Mailing Address - Fax:954-784-9518
Practice Address - Street 1:50 EAST SAMPLE ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-3550
Practice Address - Country:US
Practice Address - Phone:954-942-3991
Practice Address - Fax:954-941-4594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL374556200Medicaid
FL77269Medicare PIN