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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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