Organization Active NPI

Riverwalk Medical Group LLC

  • Neurology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1659254324
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
RIVERWALK MEDICAL GROUP LLC
Practice address
515 E Las Olas Blvd Ste 1301
Ft Lauderdale, FL 33301-2296
Phone
(954) 852-2125
Fax
(954) 852-2126
NPI assigned
Jul 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Andrew Pardo
Title
Office Manager
Phone
(954) 852-2125

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X

Addresses

Primary practice location

515 E Las Olas Blvd Ste 1301
Ft Lauderdale, FL 33301-2296

Mailing address

515 E Las Olas Blvd Ste 1301
Ft Lauderdale, FL 33301-2296
Phone (954) 852-2125

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1659254324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E LAS OLAS BLVD STE 1301",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012296",
            "telephone_number": "954-852-2125",
            "fax_number": "954-852-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E LAS OLAS BLVD STE 1301",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012296",
            "telephone_number": "954-852-2125",
            "fax_number": "954-852-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERWALK MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-852-2125"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.