Provider Demographics
NPI:1710936620
Name:NEURO ORTHO GROUP
Entity Type:Organization
Organization Name:NEURO ORTHO GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHOPEDIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:STARRY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-545-3433
Mailing Address - Street 1:150 S ANDREWS AVE
Mailing Address - Street 2:SUITE # 350
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-3298
Mailing Address - Country:US
Mailing Address - Phone:954-545-3433
Mailing Address - Fax:954-545-4012
Practice Address - Street 1:150 S ANDREWS AVE
Practice Address - Street 2:SUITE # 350
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-3298
Practice Address - Country:US
Practice Address - Phone:954-545-3433
Practice Address - Fax:954-545-4012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8384174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty