AMPLIFIED NEURODIAGNOSTICS, P. A. (NPI# 1689128266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689128266 |
| Entity Type | Organization |
| Organization Name | AMPLIFIED NEURODIAGNOSTICS, P. A. |
| Practice Address |
2260 N 29th Ave Unit 302 Hollywood FL 33020-1710 |
| Practice Telephone | 7175804189 |
| Mailing Telephone | 7175804189 |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2017-03-09 |
| Authorized Official Name | JORDAN S SANDERSON (PRESIDENT) |
| Authorized Official Telephone | 7175804189 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | CH11618 | FL | Managed Care Organizations |
| Street Address |
2260 N 29TH AVE UNIT 302 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
| 1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
| Find all providers in zip 33020 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447493770 | Imprimis Health Group | Point of Service | 3990 Sheridan St, Suite 214, Hollywood, FL 33021-3661 | 2009-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666146 | Tashiana Kelly | Point of Service | 2611 University Blvd N Apt C203, Jacksonville, FL 32211-3287 | 2020-10-15 |
| 1184236192 | Blu Dog Solutions LLC | Point of Service | 8801 Hunters Lake Dr Apt 922, Tampa, FL 33647-2858 | 2020-08-20 |
| 1235747239 | The Minority Alliance for Advocating Community Awareness and Action, I | Point of Service | 1720 S Gadsden St Ste 223, Tallahassee, FL 32301-5506 | 2020-07-16 |
| 1760009831 | National Ancillary Network Solutions, LLC | Point of Service | 1117 Pinellas Bayway S. #307, St. Petersburg, FL 33715 | 2020-07-06 |
| 1427686559 | Bsms Pembroke LLC | Point of Service | 12592 Pines Blvd, Pembroke Pines, FL 33027-1760 | 2020-04-01 |
| 1447897590 | Horizon Health Management & Consulting Group of Florida | Point of Service | 7826 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34747-1735 | 2019-12-09 |
| 1467095604 | Kelley Sgroi Lmhc, LLC | Point of Service | 252 W Marion Ave Ste 1134, Punta Gorda, FL 33950-4442 | 2019-10-21 |
| 1972163079 | Numethodsmd LLC | Point of Service | 5975 Sunset Dr Ste 605, South Miami, FL 33143-5174 | 2019-06-19 |
| 1619537313 | Priority Imaging | Point of Service | 880 Nw 13th St Ste 101, Boca Raton, FL 33486-2342 | 2019-06-17 |
| 1902364813 | Advance Medical & Administrative Support Usa LLC | Point of Service | 5940 Pelican Bay Plz S Apt 306, Gulfport, FL 33707-3956 | 2019-03-10 |
| Find all providers with the same taxonomy | ||||
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| 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.