Provider Demographics
NPI:1356596167
Name:NEUROSURGICAL ASSOCIATES OF SOUTH FLORIDA
Entity type:Organization
Organization Name:NEUROSURGICAL ASSOCIATES OF SOUTH FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNNAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-845-7078
Mailing Address - Street 1:150 S ANDREWS AVE STE 410
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-3219
Mailing Address - Country:US
Mailing Address - Phone:561-845-7078
Mailing Address - Fax:561-845-8030
Practice Address - Street 1:150 S ANDREWS AVE STE 410
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-3219
Practice Address - Country:US
Practice Address - Phone:561-845-7078
Practice Address - Fax:561-845-8030
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORTHOPEDIC & SPINE CENTER OF SOUTH FLORIDA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty