Organization
NATIONAL NEUROSURGERY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY PODKOVIK MD (AMBR/PHYSICIAN)
(224) 619-2370
Entity
Organization
Contact information
Practice address
2820 NE 214TH ST STE 820, AVENTURA, FL 33180-1270
(754) 300-0817
(786) 244-9467
Mailing address
2820 NE 214TH ST STE 820, AVENTURA, FL 33180-1270
(754) 300-0817
(786) 244-9467
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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