Florida Nerve Med LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME96190 Issued in FL

Legal business name

FLORIDA NERVE MED LLC

Practice address

8198 S Jog Rd
#100
Boynton Beach, FL 33472-2900

Phone

(561) 602-6191

Fax

(561) 429-3630

NPI assigned

Jan 15, 2013

Last updated

Mar 16, 2015By 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

Owner

Phone

(561) 310-7759

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

  Neuromuscular Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1417294158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 DUCHESS CT",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334101553",
            "telephone_number": "561-602-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8198 S JOG RD",
            "address_2": "#100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722900",
            "telephone_number": "561-602-6191",
            "fax_number": "561-429-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA NERVE MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "GEISSE",
        "authorized_official_first_name": "HILDEGARDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-310-7759",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME96190",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "FL",
            "license": "ME96190",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "FL",
            "license": "ME96190",
            "primary": false
        },
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "FL",
            "license": "ME96190",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME96190",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Florida Gastro Partners LLC
• Florida Healthcare Associates PL
• Florida Movement Therapy Center-Boynton Beach Inc
• Florida Neurospine Services, LLC
• Florida Orthocare Network LLC
• Florida Pain Medicine Associates Inc
• Florida Pedorthics Incorporated
• Florida Premier Cardiology, LLC

• Neurology Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.