SOUTHEAST NEUROLOGY GROUP PA (NPI# 1255563961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255563961 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST NEUROLOGY GROUP PA |
| Practice Address |
9750 Nw 33rd St Ste 107 Coral Springs FL 33065-4042 |
| Mailing Address |
Po Box 25218 Tamarac FL 33320-5218 |
| Practice Telephone | 9543411171 |
| Practice Fax Number | 9549685005 |
| Mailing Telephone | 9543411171 |
| Mailing Fax Number | 9549685005 |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2009-08-13 |
| Authorized Official Name | GEORGE G LEVY (PRESIDENT) |
| Authorized Official Telephone | 9543411171 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME35865 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 065077300 | 05 |
| Street Address |
9750 NW 33RD ST STE 107 |
| City | CORAL SPRINGS |
| State | FL |
| Zip Code | 33065-4042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720771 | Kasra N Behfar | Podiatrist | 9750 Nw 33rd St, Suite 201, Coral Springs, FL 33065-4042 | 2005-06-20 |
| 1487029120 | Wisdom Akpaka, Dds P.a | Dentist | 9750 Nw 33rd St, Suite 217, Coral Springs, FL 33065-4042 | 2015-12-07 |
| 1235508268 | Genesiscare Usa of Florida LLC | Urology | 9750 Nw 33rd St, Suite 218, Coral Springs, FL 33065-4042 | 2015-09-21 |
| 1699144766 | Patricia Martin | Nurse Practitioner | 9750 Nw 33rd St, Coral Springs, FL 33065-4042 | 2015-09-18 |
| 1922492883 | Optumcare South Florida, LLC | Non-Pharmacy Dispensing Site | 9750 Nw 33rd St, Suite 212, Coral Springs, FL 33065-4042 | 2015-03-27 |
| 1891131413 | Sunrise Medical Group I LLC | Physical Therapist | 9750 Nw 33rd St, Suite 107, Coral Springs, FL 33065-4042 | 2013-05-22 |
| 1972858801 | Rap Preventive Healthcare, Inc | Pediatrics | 9750 Nw 33rd St, Suite #216, Coral Springs, FL 33065-4042 | 2012-07-17 |
| 1710255385 | Ams Dental Pllc | Dentist | 9750 Nw 33rd St, Suite 217, Coral Springs, FL 33065-4042 | 2011-12-09 |
| 1447536487 | Coral Springs Holistic Pediatrics, LLC | Pediatrics | 9750 Nw 33rd St, Suite # 216, Coral Springs, FL 33065-4042 | 2011-10-21 |
| 1619255015 | Pediatric Potentials Therapy | Speech-Language Pathologist | 9750 Nw 33rd St, Suite 209, Coral Springs, FL 33065-4042 | 2011-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899418 | United Adult Care Services, LLC | Home Health | 11448 West Sample Rd, Coral Springs, FL 33065 | 2020-07-28 |
| 1245872068 | Grace Diana Perez | Developmental Therapist | 3325 N University Drive, Coral Springs, FL 33065 | 2019-10-14 |
| 1497397210 | Anjulia Maureen Nicholson | Speech-Language Pathologist | 3100 Coral Hills Dr Suite 200, Coral Springs, FL 33065 | 2019-10-14 |
| 1467911131 | Sawgrass Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 12415 Nw 35 Street, Coral Springs, FL 33065 | 2019-03-13 |
| 1992274252 | Kayon Shepherd | Dermatology | 7837 West Sample Rd, #127, Coral Springs, FL 33065 | 2018-11-15 |
| 1073009148 | Empire Detox, LLC | Clinic/Center | 3000 Nw 101st Ln Ste 101-a, Coral Springs, FL 33065 | 2018-07-02 |
| 1487148706 | Perfect Balance Healthcare, Pllc | Pharmacist | 7500 Live Oak Dr., Coral Springs, FL 33065 | 2018-06-20 |
| 1477051498 | Neuro Wellness Centers of America, LLC | Clinic/Center | 9734 W Sample Rd, Coral Springs, FL 33065 | 2018-01-24 |
| 1821502550 | Happy Adult Day Care Rehab, LLC | Clinic/Center | 7463 W Sample Rd, Coral Springs, FL 33065 | 2017-11-16 |
| 1821500059 | I'd Rather Be Home Homecare Services LLC | Registered Nurse | 7501 Nw 42nd Drive, Coral Springs, FL 33065 | 2017-10-27 |
| Find all providers in zip 33065 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659520724 | Jose A Diaz Pimentel | Psychiatry & Neurology | 5441 N University Dr Ste 101, Coral Springs, FL 33067-4640 | 2008-09-15 |
| 1548483761 | Bashar Lutfi | Psychiatry & Neurology | 1725 N University Dr Ste 425, Coral Springs, FL 33071-6000 | 2007-04-10 |
| 1093714891 | Paul Wand | Psychiatry & Neurology | 2232 N University Dr, Suite A, Coral Springs, FL 33071-6184 | 2005-07-14 |
| 1992052146 | Thomas J Goldschmidt Md Pa | Psychiatry & Neurology | 3100 Coral Hills Dr, Suite 202, Coral Springs, FL 33065-4137 | 2012-08-07 |
| 1881983773 | Fawzi Damin Abukhalil | Psychiatry & Neurology | 5441 N University Dr Ste 101, Coral Springs, FL 33067-4640 | 2011-03-31 |
| 1518134881 | Sonia Kaur Kalirao | Psychiatry & Neurology | 5441 N University Dr, Ste 101, Coral Springs, FL 33067-4640 | 2008-05-14 |
| 1740458371 | Bashar Lutfi Md Pa | Psychiatry & Neurology | 8100 Royal Palm Blvd, Suite 106, Coral Springs, FL 33065-5733 | 2008-02-17 |
| 1215134168 | Margarette Damas | Psychiatry & Neurology | 3100 Coral Hills Dr, Suite 308, Coral Springs, FL 33065-4137 | 2007-07-02 |
| 1659494854 | Brad M Dajani | Psychiatry & Neurology | 1725 N University Dr, Suite425, Coral Springs, FL 33071-6089 | 2007-04-10 |
| 1518080407 | Thomas John Goldschmidt | Psychiatry & Neurology | 3100 Coral Hills Dr, Suite 202, Coral Springs, FL 33065-4137 | 2007-04-07 |
| Find all providers in CORAL SPRINGS | ||||
| City | CORAL SPRINGS |
| Zip Code | 33065 |
Please comment or provide details below to improve the information on SOUTHEAST NEUROLOGY GROUP PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.