Provider Demographics
NPI:1265593966
Name:FLORIDA NEUROPSYCHIATRIC INSTITUTE INC
Entity type:Organization
Organization Name:FLORIDA NEUROPSYCHIATRIC INSTITUTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANISLAV
Authorized Official - Middle Name:
Authorized Official - Last Name:STOJANOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-525-2003
Mailing Address - Street 1:2962 SW 26 TERRACE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:DANIA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33312
Mailing Address - Country:US
Mailing Address - Phone:954-525-2003
Mailing Address - Fax:954-525-0212
Practice Address - Street 1:2962 SW 26 TERRACE
Practice Address - Street 2:SUITE 203
Practice Address - City:DANIA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33312
Practice Address - Country:US
Practice Address - Phone:954-525-2003
Practice Address - Fax:954-525-0212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL263377901Medicaid
FL263377900Medicaid