Provider Demographics
NPI:1629140710
Name:FLORIDA NEUROVASCULAR INSTITUTE
Entity type:Organization
Organization Name:FLORIDA NEUROVASCULAR INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERFAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALBAKRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-250-9101
Mailing Address - Street 1:PO BOX 388
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33601-0388
Mailing Address - Country:US
Mailing Address - Phone:813-250-9101
Mailing Address - Fax:813-844-4952
Practice Address - Street 1:5 TAMPA GENERAL CIR STE 200
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-3578
Practice Address - Country:US
Practice Address - Phone:813-250-9101
Practice Address - Fax:813-844-4952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2084N0400X
2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK2394Medicare ID - Type Unspecified