Provider Demographics
NPI:1760792345
Name:NEUROSCIENCE CENTERS OF FLORIDA FOUNDATION, INC.
Entity Type:Organization
Organization Name:NEUROSCIENCE CENTERS OF FLORIDA FOUNDATION, INC.
Other - Org Name:BRAIN CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HORSTMYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-856-8940
Mailing Address - Street 1:2150 CORAL WAY
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2629
Mailing Address - Country:US
Mailing Address - Phone:305-856-8940
Mailing Address - Fax:305-456-3797
Practice Address - Street 1:3661 S MIAMI AVE STE 208
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4233
Practice Address - Country:US
Practice Address - Phone:786-565-8735
Practice Address - Fax:786-292-1130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-15
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch