Child Neurology Llc in Hollywood - Neurology With Special Qualifications In Child Neurology
Child Neurology Llc - NPI 1710924956
Child Neurology Llc is a Neurology With Special Qualifications In Child Neurology in Hollywood, Florida. Child Neurology Llc practices all healthcare services and medical treatments related to Neurology With Special Qualifications In Child Neurology. The NPI Number for Child Neurology Llc is 1710924956. The last update date is 2008-05-16.
Child Neurology Llc's current location address is 4440 Sheridan Street, Hollywood, Florida. You can contact this provider via phone number 9549612423 and fax number 9549614860. The mailing address for Child Neurology Llc is 4440 Sheridan Street, Hollywood, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Child Neurology Llc |
|---|---|
| Address | 4440 Sheridan Street, Hollywood, Florida |
| Phone Number | 9549612423 |
| Fax Number | 9549614860 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER OF |
|---|---|
| Authorized Official Name | Dubrovsky Tatyana |
| Credentials | MD |
| Telephone Number | 9549612423 |
NPI Number Detail
| NPI Number | 1710924956 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2008-05-16 |
Provider Mailing Address Detail
| Address | 4440 Sheridan Street |
|---|---|
| City | Hollywood |
| State | Florida (FL) |
| Post Code | 33021 |
| Phone Number | 9549612423 |
| Fax Number | 9549614860 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology With Special Qualifications In Child Neurology |
|---|---|
| Taxonomy | 2084N0402X |
| Licence No | ME70907 |
|
Definition: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 77841 | FL | BLUE CROSS BLUE SHIELD | |
| 276469500 | FL | PEDIATRIC ASSOCIATES PSN | |
| 276469500 | FL | FL NETPASS | |
| 276469500 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Child Neurology Llc by the Centers for Medicare & Medicaid Services?
The Child Neurology Llc has been assigned the NPI (National Provider Identifier) 1710924956. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Child Neurology Llc?
The Child Neurology Llc is physically situated at 4440 Sheridan Street, in the city of Hollywood, state of FL, with the postal code 33021.
What is Child Neurology Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Child Neurology Llc is Neurology With Special Qualifications In Child Neurology, and the taxonomy code that categorizes this field of expertise is 2084N0402X.
On what date did the Centers for Medicare & Medicaid Services assign the 1710924956 to Child Neurology Llc?
The Centers for Medicare & Medicaid Services assigned the 1710924956 to Child Neurology Llc on 2006-05-31.
As of what date was the information pertaining to Child Neurology Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Child Neurology Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-05-16.