Organization
AVENTURA NEUROSURGERY LLC
Active
Organization
AVENTURA NEUROSURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DUNCAN (VP)
(954) 767-5716
Entity
Organization
Contact information
Practice address
20295 NE 29TH PL, SUITE 300, AVENTURA, FL 33180-4109
(786) 428-1059
Mailing address
20295 NE 29TH PL, SUITE 300, AVENTURA, FL 33180-4109
(786) 428-1059
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3775800
AETNA US HEALTHCARE OF FL
FL
Enumeration date
05/30/2006
Last updated
08/17/2018
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