Provider Demographics
NPI:1841070273
Name:NEUROFENIX MEDICAL GROUP OF FLORIDA, INC.
Entity type:Organization
Organization Name:NEUROFENIX MEDICAL GROUP OF FLORIDA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GUILLEM
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGLA BUXARRAIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-442-1805
Mailing Address - Street 1:730 GOODLETTE-FRANK RD N STE 205P
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5618
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:730 GOODLETTE-FRANK RD N STE 205P
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5618
Practice Address - Country:US
Practice Address - Phone:800-945-8132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-03
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitationGroup - Single Specialty