Organization
FLORIDA NERVE MED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILDEGARDE GEISSE M.D. (MANAGER/ OWNER)
(561) 310-7759
Entity
Organization
Contact information
Practice address
6400 N ANDREWS AVE, SUITE 530, FORT LAUDERDALE, FL 33309-2114
(844) 636-3876
(561) 429-3630
Mailing address
6400 N ANDREWS AVE, SUITE 530, FORT LAUDERDALE, FL 33309-2114
(844) 636-3876
(561) 429-3630
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
ME96190
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145ZC
BCBS
FL
01
—
331981
AVMED
FL
01
—
46-1674338
UHC
FL
01
—
6985656
CIGNA
FL
01
—
9711158
AETNA
FL
Enumeration date
05/27/2015
Last updated
06/20/2018
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