Neurosport LLC
NPI #1992365472 in Deerfield Beach, Florida
Provider Information
- NPI Number
- 1992365472
- Entity Type
- Organization
- Organization Name
- Neurosport LLC
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Jun 18, 2019
- Last Updated
- Jun 18, 2019
Practice Location
- Address
- 378 HILLSBORO TECHNOLOGY DR
- City
- Deerfield Beach
- State
- Florida
- ZIP Code
- 33441-1836
- Phone
- (954) 949-2345
Authorized Official
- Name
- DR. DANIEL KANTOR, MD
- Title
- CHIEF MEDICAL OFFICER
- Phone
- (904) 687-7879
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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