Organization
SOUTH FLORIDA NEUROSURGICAL INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY J HALL MD (PRESIDENT)
(954) 376-7330
Entity
Organization
Contact information
Practice address
7710 NW 71ST CT, SUITE 205, TAMARAC, FL 33321-2973
(954) 376-7330
(954) 720-2799
Mailing address
7710 NW 71ST CT, SUITE 205, TAMARAC, FL 33321-2973
(954) 376-7330
(954) 720-2799
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME67040
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264899700
—
FL
01
—
97142
BLUE CROSS BLUE SHIELD
FL
01
—
CK2719
RAILROAD MEDICARE
—
Enumeration date
09/18/2007
Last updated
04/12/2011
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