| Restorative Neurology And Headache Center Llc | |
|
7730 Boynton Beach Blvd Ste 4 Boynton Beach FL 33437-6155 | |
| (813) 482-5515 | |
| (813) 537-8782 |
| Full Name | Restorative Neurology And Headache Center Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7730 Boynton Beach Blvd Ste 4, Boynton Beach, Florida |
| Authorized Official Name and Position | Nina Tsakadze (PROVIDER) |
| Authorized Official Contact | 8134825515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Neurology And Headache Center Llc 20350 Cozumel Ct Boca Raton FL 33498-6712 Ph: (813) 482-5515 | Restorative Neurology And Headache Center Llc 7730 Boynton Beach Blvd Ste 4 Boynton Beach FL 33437-6155 Ph: (813) 482-5515 |
| NPI Number | 1003518838 |
|---|---|
| Provider Enumeration Date | 03/17/2023 |
| Last Update Date | 03/27/2023 |
| Certification Date | 03/27/2023 |
| Medicare PECOS PAC ID | 8123493772 |
|---|---|
| Medicare Enrollment ID | O20230412002032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003518838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Nina Tsakadze |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356534135 PECOS PAC ID: 4587835095 Enrollment ID: I20110913000836 |
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