Organization
NEUROLOGICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOREN CAREY HENNICK (OWNER)
(954) 428-1769
Entity
Organization
Contact information
Practice address
4801 JOHNSON RD, SUITE 7, COCONUT CREEK, FL 33073-4359
(954) 428-1769
(954) 725-3725
Mailing address
4801 JOHNSON RD, SUITE 7, COCONUT CREEK, FL 33073-4359
(954) 428-1769
(954) 725-3725
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
FL
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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