Organization
NEUROLOGY-NEUROSURGERY OF DADE AND BROWARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIETTE S CORTES (OWNER)
(305) 394-8594
Entity
Organization
Contact information
Practice address
7100 W 20TH AVE, SUITE 315, HIALEAH, FL 33016-1811
(305) 557-6201
(305) 557-6203
Mailing address
18520 NW 67TH AVE, SUITE 112, HIALEAH, FL 33015-3302
(305) 557-6201
(305) 557-6203
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME89140
—
208VP0000X
Pain Medicine Physician
ME89140
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274781200
—
FL
Enumeration date
06/19/2008
Last updated
08/21/2009
Update your record
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