Astra Neurosurgical Institute, LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

ASTRA NEUROSURGICAL INSTITUTE, LLC

Practice address

201 14TH St SW
Largo, FL 33770-3133

Phone

(718) 360-7534

Fax

(973) 718-3282

NPI assigned

Apr 19, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sonnie Daniels, MBA

Title

Manager

Phone

(718) 360-7534

Specialties & licenses 1

Addresses

Other names 1

• Astra Neurosurgical Institute, LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1023705167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 W MELROSE AVE S",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295419",
            "telephone_number": "718-360-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 14TH ST SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703133",
            "telephone_number": "718-360-7534",
            "fax_number": "973-718-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTRA NEUROSURGICAL INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "SONNIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-360-7534",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Astra Neurosurgical Institute, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Neurological Surgery Physician in Largo, FL
• Providers in Largo, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.