Advantage Neurology Group LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME31479 Issued in FL

Legal business name

ADVANTAGE NEUROLOGY GROUP LLC

Practice address

6810 N State Road 7
Coconut Creek, FL 33073-4304

Phone

(888) 992-2259

Fax

(888) 613-0761

NPI assigned

May 20, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Whitney

Title

President

Phone

(888) 992-2259

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1407268808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 N STATE ROAD 7",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734304",
            "telephone_number": "888-992-2259",
            "fax_number": "888-613-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 N STATE ROAD 7",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734304",
            "telephone_number": "888-992-2259",
            "fax_number": "888-613-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE NEUROLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-992-2259",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME31479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.