Organization
NEURO INTERGRATION, LLC
Active
Other names
NEURO INTERGRATION, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA HERNANDEZ (MANAGER)
(954) 203-3584
Entity
Organization
Contact information
Practice address
1990 N FEDERAL HWY STE B, POMPANO BEACH, FL 33062-1032
(561) 504-2305
(954) 856-2904
Mailing address
125 NEPTUNE DR, HYPOLUXO, FL 33462-6019
(561) 504-2305
(954) 856-2904
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY7715
FL
103T00000X
Psychologist
Primary
PY7715
FL
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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