Provider Demographics
NPI:1821021056
Name:NEUROSURG LLC
Entity Type:Organization
Organization Name:NEUROSURG LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:HARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-674-2950
Mailing Address - Street 1:4302 ALTON RD
Mailing Address - Street 2:STE 830
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140
Mailing Address - Country:US
Mailing Address - Phone:305-674-2950
Mailing Address - Fax:305-674-2842
Practice Address - Street 1:4302 ALTON RD
Practice Address - Street 2:STE 830
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140
Practice Address - Country:US
Practice Address - Phone:305-674-2950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2010-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
K8528Medicare ID - Type Unspecified