Organization
NORTHWEST BROWARD NEUROSURGERY AND SPINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY A JAHN (CREDENTIALING COORDINATOR)
(561) 251-9995
Entity
Organization
Contact information
Practice address
2960 N STATE ROAD 7, SUITE 206, MARGATE, FL 33063-5755
(561) 548-3716
(561) 548-3878
Mailing address
111 JFK DR STE A, ATLANTIS, FL 33462-6634
(561) 548-3716
(561) 548-3878
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME99266
FL
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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