Provider Demographics
NPI:1801273883
Name:NEUROVASCULAR INSTITUTE, INC.
Entity type:Organization
Organization Name:NEUROVASCULAR INSTITUTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:PLISCOF
Authorized Official - Last Name:HOLWAY
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:561-252-0943
Mailing Address - Street 1:10904 MYRTLE OAK CT
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-3287
Mailing Address - Country:US
Mailing Address - Phone:561-252-0943
Mailing Address - Fax:561-627-6734
Practice Address - Street 1:10904 MYRTLE OAK CT
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3287
Practice Address - Country:US
Practice Address - Phone:561-252-0943
Practice Address - Fax:561-627-6734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-29
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL117832251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurologyGroup - Single Specialty