Active NPI
Neurosurgical Specialists LLC
- Neurological Surgery Physician
- West Palm Beach, FL
National Provider Identifier
1609147347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- NEUROSURGICAL SPECIALISTS LLC
- Practice address
- 927 45TH St
Suite 204
West Palm Beach, FL 33407-2450 - Phone
- (561) 307-1006
- NPI assigned
- Jan 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terri Petruska
- Title
- Manager
- Phone
- (561) 307-1006
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | KY | Primary |
Addresses
Primary practice location
927 45TH St
Suite 204
West Palm Beach, FL 33407-2450
Mailing address
4521 Pga Blvd
Suite 105
Palm Beach Gardens, FL 33418-3997
Phone (561) 307-1006
National Provider Directory
National Provider DirectoryLocations
4521 Pga Blvd
Palm Beach Gardens, FL 33418
Phone (561) 624-7315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327449600000",
"number": "1609147347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4521 PGA BLVD",
"address_2": "SUITE 105",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334183997",
"telephone_number": "561-307-1006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 45TH ST",
"address_2": "SUITE 204",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072450",
"telephone_number": "561-307-1006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROSURGICAL SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-25",
"last_updated": "2012-01-25",
"status": "A",
"authorized_official_last_name": "PETRUSKA",
"authorized_official_first_name": "TERRI",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "561-307-1006"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
- Neuropsychiatric Research and Practice Associates, Inc.
- Neuroscience Research Institute of Florida, LLC
- Neuroscience Research Institute of Florida, LLC
- Neurosurgical Consultants of South Florida, LLC
- Neurosurgical Solutions LLC
- Never Walk Alone ABA Therapy Inc
- Justine Marie Neville-Fyfe, ED.S.
- Snjezana Nevistic, LMT
- New Age Dermatology Inc
- New Birth New Life Medical Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.