Organization Active NPI

Neurobrain Diagnostic, LTD

  • Health Service Clinic/Center
  • Hollywood, FL
National Provider Identifier
1356575245
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
NEUROBRAIN DIAGNOSTIC, LTD
Practice address
3475 Sheridan Street
215E
Hollywood, FL 33021-3659
Phone
(954) 985-5633
Fax
(954) 985-5634
NPI assigned
May 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Mr. Michael Rozenberg
Title
Managing Partner
Phone
(954) 985-5633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

3475 Sheridan Street
215E
Hollywood, FL 33021-3659

Mailing address

3475 Sheridan Street
215E
Hollywood, FL 33021-3659
Phone (954) 985-5633

National Provider Directory

National Provider Directory

Locations

3475 Sheridan St
Ste 215E
Hollywood, FL 33021
Phone (954) 985-5633

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1356575245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 SHERIDAN STREET",
            "address_2": "215E",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213659",
            "telephone_number": "954-985-5633",
            "fax_number": "954-985-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 SHERIDAN STREET",
            "address_2": "215E",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213659",
            "telephone_number": "954-985-5633",
            "fax_number": "954-985-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROBRAIN DIAGNOSTIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "ROZENBERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "954-985-5633",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.