Provider Demographics
NPI:1023334901
Name:THE NEURO CLINIC INC.
Entity type:Organization
Organization Name:THE NEURO CLINIC INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BEATRIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:DROT
Authorized Official - Phone:305-596-6107
Mailing Address - Street 1:11337 SW 74TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-2601
Mailing Address - Country:US
Mailing Address - Phone:305-596-6107
Mailing Address - Fax:305-598-7744
Practice Address - Street 1:11337 SW 74TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-2601
Practice Address - Country:US
Practice Address - Phone:305-596-6107
Practice Address - Fax:305-598-7744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-16
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT2383251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health