FLORIDA NEURODIAGNOSTICS, LLC (NPI# 1811366628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811366628 |
| Entity Type | Organization |
| Organization Name | FLORIDA NEURODIAGNOSTICS, LLC |
| Practice Address |
1200 S Pine Island Rd Plantation FL 33324-4413 |
| Mailing Address |
4600 Fuller Dr Suite 275 Irving TX 75038-6551 |
| Practice Telephone | 8174226475 |
| Mailing Telephone | 8174226475 |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2020-02-27 |
| Authorized Official Name | CONOR BUTTS (PRESIDENT AND COO) |
| Authorized Official Telephone | 4699958416 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALLIANCE FAMILY OF COMPANIES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities | ||
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Street Address |
1200 S PINE ISLAND RD |
| City | PLANTATION |
| State | FL |
| Zip Code | 33324-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710392436 | Altegra Health Connections, LLC | Nurse Practitioner | 1200 S Pine Island Rd, Plantation, FL 33324-4413 | 2014-06-23 |
| 1457820789 | Md24 Fl, Inc. | Family Medicine | 1200 S Pine Island Rd, Plantation, FL 33324-4413 | 2018-11-15 |
| 1275562001 | Gentiva Health Services (certified), Inc. | Home Health | 1200 S Pine Island Rd, Suite 375, Plantation, FL 33324-4413 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417154808 | Kirtmed, Inc. | Physiological Laboratory | 734 Nw 101st Ter, Plantation, FL 33324-1061 | 2007-06-28 |
| 1275853046 | Rivero Diagnostic Center Inc | Physiological Laboratory | 7050 Nw 4th St, 202, Plantation, FL 33317-2247 | 2010-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285240192 | Ohi West Medical Group, LLC | Physiological Laboratory | 2201 Central Ave Ste 100, St Petersburg, FL 33713-8844 | 2020-09-17 |
| 1619446853 | Myvy Southwest Imaging LLC | Physiological Laboratory | 1160 Kane Concourse Ste 402, Bay Harbor Is, FL 33154-2059 | 2018-11-16 |
| 1366919961 | Richard Thomas Escobar | Physiological Laboratory | 2111 S Pine Ave Ste B, Ocala, FL 34471-8194 | 2018-11-01 |
| 1316398787 | Braincare, LLC | Physiological Laboratory | 12301 Lake Underhill Rd Ste 201, Orlando, FL 32828-4511 | 2016-06-28 |
| 1124486931 | R&r Medx Solutions LLC | Physiological Laboratory | 7144 Stirling Rd, Ste 185, Hollywood, FL 33024-1650 | 2016-02-08 |
| 1730568486 | My Diagnostic Team Inc | Physiological Laboratory | 3114 45th St, Suite 9, West Palm Beach, FL 33407-1945 | 2015-05-28 |
| 1508260399 | Douglas Lyons | Physiological Laboratory | 1250 Diana Ave, Naples, FL 34103-4567 | 2014-10-22 |
| 1275956005 | University of South Florida | Physiological Laboratory | 3702 Spectrum Blvd, Suite 165, Tampa, FL 33612-9444 | 2014-01-30 |
| 1891125936 | Portable Medical Diagnostics, Inc | Physiological Laboratory | 8080 Belvedere Rd Ste 6, West Palm Beach, FL 33411-6224 | 2013-11-26 |
| 1083950752 | Beachway Therapy Treatment Center LLC | Physiological Laboratory | 705 Bond Way Ste B, Delray Beach, FL 33483-5826 | 2012-12-27 |
| Find all providers with the same taxonomy | ||||
| City | PLANTATION |
| Zip Code | 33324 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.