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Organization

NEURO INTERGRATION, LLC

Active
Parent organization
NEURO INTERGRATION, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
NEURO INTERGRATION, LLC
Authorized official
SILVIA V HERNANDEZ (MANAGER)
(954) 203-3584
Entity
Organization

Contact information

Practice address
4824 10TH AVE N, GREENACRES, FL 33463-2208
(561) 504-2305
Mailing address
125 NEPTUNE DR, HYPOLUXO, FL 33462-6019
(561) 504-2305
(954) 856-2904

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103G00000X
Clinical Neuropsychologist
Primary
103T00000X
Psychologist

Other

Enumeration date
05/15/2018
Last updated
05/15/2018
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