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1150 N 35th Ave Ste 520 Hollywood FL 33021-5431 | |
| (954) 265-2423 | |
| (954) 961-4860 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1150 N 35th Ave Ste 520, Hollywood, Florida |
| Authorized Official Name and Position | Esther Surujon (CFO MEMORIAL PHYSICIAN GROUP & MPC) |
| Authorized Official Contact | 9542656677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2900 Corporate Way Mpg Door D Miramar FL 33025-3925 Ph: (954) 276-5685 | 1150 N 35th Ave Ste 520 Hollywood FL 33021-5431 Ph: (954) 265-2423 |
| NPI Number | 1962706721 |
|---|---|
| Provider Enumeration Date | 01/07/2011 |
| Last Update Date | 08/31/2023 |
| Certification Date | 08/31/2023 |
| Medicare PECOS PAC ID | 8123927373 |
|---|---|
| Medicare Enrollment ID | O20151026000222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962706721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
| Provider Name | Cheryl Minick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871824623 PECOS PAC ID: 4082861174 Enrollment ID: I20120824000149 |
| Provider Name | Stefanie J Berry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144453796 PECOS PAC ID: 0345419719 Enrollment ID: I20151102000652 |
| Provider Name | Sima A Parikh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487898045 PECOS PAC ID: 0941510036 Enrollment ID: I20151102000799 |
| Provider Name | Areeba Basit |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922365451 PECOS PAC ID: 5698041242 Enrollment ID: I20171025003471 |
| Provider Name | Monica Socorro Arroyo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497016901 PECOS PAC ID: 7810232964 Enrollment ID: I20181219000224 |
| Provider Name | Cristina C Santiago |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629589833 PECOS PAC ID: 8426396904 Enrollment ID: I20190207001114 |
| Provider Name | Andres Jimenez Gomez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245594779 PECOS PAC ID: 2961739263 Enrollment ID: I20190808004073 |
| Provider Name | Syndi A Seinfeld |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346450384 PECOS PAC ID: 6608032339 Enrollment ID: I20191230002182 |
| Provider Name | Julia Holtmann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598046450 PECOS PAC ID: 0941461941 Enrollment ID: I20210525001263 |
| Provider Name | Amanda Marie Kwasnicki |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942695135 PECOS PAC ID: 5890005946 Enrollment ID: I20231113000748 |
| Provider Name | Jenna L Erikson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912682493 PECOS PAC ID: 8527415447 Enrollment ID: I20231114000948 |
| Provider Name | Jonathan M Yarimi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588170161 PECOS PAC ID: 2466993324 Enrollment ID: I20240918003169 |
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