Organization
NEUROLOGY GROUP OF SOUTH FL INC
Active
Organization
NEUROLOGY GROUP OF SOUTH FL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE C DIAZ MD (TREASURER)
(305) 532-2464
Entity
Organization
Contact information
Practice address
4300 ALTON RD, SUITE 2060, MIAMI BEACH, FL 33140-2800
(305) 532-2464
(305) 531-2924
Mailing address
4300 ALTON RD, SUITE 2060, MIAMI BEACH, FL 33140-2800
(305) 532-2464
(305) 531-2924
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21815
BLUE CROSS BLUE SHIELD
FL
05
—
253816400
—
FL
01
—
3001436
GHI
FL
01
—
7970545
AETNA
FL
01
—
CH5992
RAILROAD MEDICARE
FL
Enumeration date
02/10/2006
Last updated
05/22/2008
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