Organization
NEURO INTERGRATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA HERMNANDEZ (BILLING MANAGER)
(954) 203-3584
Entity
Organization
Contact information
Practice address
2500 N FEDERAL HWY STE 100, FORT LAUDERDALE, FL 33305
(844) 535-2700
Mailing address
125 NEPTUNE DR, HYPOLUXO, FL 33462-6019
(561) 504-2305
(954) 856-2904
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
05/30/2018
Last updated
06/08/2018
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