Organization
ADVANTAGE NEUROLOGY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN WHITNEY (PRESIDENT)
(888) 992-2259
Entity
Organization
Contact information
Practice address
6810 N STATE ROAD 7, COCONUT CREEK, FL 33073-4304
(888) 992-2259
(888) 613-0761
Mailing address
6810 N STATE ROAD 7, COCONUT CREEK, FL 33073-4304
(888) 992-2259
(888) 613-0761
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME31479
FL
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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