Provider Demographics
NPI:1407258304
Name:NEUROPAS GLOBAL LLC
Entity Type:Organization
Organization Name:NEUROPAS GLOBAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:CAVAZZI
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:888-472-3188
Mailing Address - Street 1:4330 W BROWARD BLVD
Mailing Address - Street 2:SUITE F
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-3775
Mailing Address - Country:US
Mailing Address - Phone:954-584-4496
Mailing Address - Fax:954-587-4018
Practice Address - Street 1:4330 W BROWARD BLVD
Practice Address - Street 2:SUITE F
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-3775
Practice Address - Country:US
Practice Address - Phone:954-584-4496
Practice Address - Fax:954-587-4018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty