Organization
NORTHWEST BROWARD NEUROSURGERY AND SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY DUNCAN (VP)
(561) 548-3878
Entity
Organization
Contact information
Practice address
5901 COLONIAL DR, SUITE 311, MARGATE, FL 33063-5675
(954) 973-4840
Mailing address
5901 COLONIAL DR, SUITE 311, MARGATE, FL 33063-5675
(954) 973-4840
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
08/07/2007
Last updated
08/29/2007
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