Florida Nerve Med, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

ME96190 Issued in FL

Legal business name

FLORIDA NERVE MED, LLC

Practice address

6400 N Andrews Ave
Suite 530
Fort Lauderdale, FL 33309-2114

Phone

(844) 636-3876

Fax

(561) 429-3630

NPI assigned

May 27, 2015

Last updated

Jun 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hildegarde Geisse, M.D.NPI 1154469120

Title

Manager/ Owner

Phone

(561) 310-7759

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hildegarde Geisse, MD

  • Neurology Physician
  • Fort Lauderdale, FL
  • NPI 1154469120
  NPD Authorized official

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1053790717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 N ANDREWS AVE",
            "address_2": "SUITE 530",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092114",
            "telephone_number": "844-636-3876",
            "fax_number": "561-429-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 N ANDREWS AVE",
            "address_2": "SUITE 530",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092114",
            "telephone_number": "844-636-3876",
            "fax_number": "561-429-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA NERVE MED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "GEISSE",
        "authorized_official_first_name": "HILDEGARDE",
        "authorized_official_title_or_position": "MANAGER/ OWNER",
        "authorized_official_telephone_number": "561-310-7759",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "ME96190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6985656",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "331981",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "145ZC",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9711158",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "46-1674338",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.