Organization Active NPI

Doctors Neurological Services of Ft Lauderdale Inc

  • Clinical Neurophysiology Physician
  • Ormond Beach, FL
National Provider Identifier
1316246796
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
DOCTORS NEUROLOGICAL SERVICES OF FT LAUDERDALE INC
Practice address
1452 N US Highway 1
Suite 103
Ormond Beach, FL 32174-6638
Phone
(138) 684-6269
NPI assigned
Mar 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Mr. Robert HargraveNPI 1639581887
Title
President
Phone
(386) 846-2698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0600X Primary

Addresses

Primary practice location

1452 N US Highway 1
Suite 103
Ormond Beach, FL 32174-6638

Mailing address

1452 N US Highway 1
Suite 103
Ormond Beach, FL 32174-6638

National Provider Directory

National Provider Directory

Locations

1452 N US Highway 1
Ste 103
Ormond Beach, FL 32174
Phone (386) 672-1250

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1316246796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 N US HIGHWAY 1",
            "address_2": "SUITE 103",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 N US HIGHWAY 1",
            "address_2": "SUITE 103",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746638",
            "telephone_number": "138-684-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS NEUROLOGICAL SERVICES OF FT LAUDERDALE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "HARGRAVE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-846-2698",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.