Organization
AVENTURA NEUROSURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DUNCAN (VICE PRESIDENT)
(561) 548-1089
Entity
Organization
Contact information
Practice address
21097 NE 27 COURT, SUITE 350, AVENTURA, FL 33180
(786) 428-1059
(786) 428-1062
Mailing address
21097 NE 27 COURT, SUITE 350, AVENTURA, FL 33180
(786) 428-1059
(786) 428-1062
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD8713
RAILROAD MEDICARE
FL
Enumeration date
11/17/2006
Last updated
10/15/2007
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