| Neurosport Llc | |
|
378 Hillsboro Technology Dr Deerfield Beach FL 33441-1836 | |
| (954) 949-2345 | |
| (954) 949-2346 |
| Full Name | Neurosport Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 378 Hillsboro Technology Dr, Deerfield Beach, Florida |
| Authorized Official Name and Position | Daniel Kantor (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 9046877879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurosport Llc 378 Hillsboro Technology Dr Deerfield Beach FL 33441-1836 Ph: (954) 949-2345 | Neurosport Llc 378 Hillsboro Technology Dr Deerfield Beach FL 33441-1836 Ph: (954) 949-2345 |
| NPI Number | 1992365472 |
|---|---|
| Provider Enumeration Date | 06/18/2019 |
| Last Update Date | 06/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992365472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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