Organization
NEUROSPORT LLC
Active
Organization
NEUROSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL KANTOR MD (CHIEF MEDICAL OFFICER)
(904) 687-7879
Entity
Organization
Contact information
Practice address
378 HILLSBORO TECHNOLOGY DR, DEERFIELD BEACH, FL 33441-1836
(954) 949-2345
(954) 949-2346
Mailing address
378 HILLSBORO TECHNOLOGY DR, DEERFIELD BEACH, FL 33441-1836
(954) 949-2345
(954) 949-2346
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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