Organization Active NPI

Neurology Group of South FL Inc

  • Neurology Physician
  • Miami Beach, FL
National Provider Identifier
1780657437
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY GROUP OF SOUTH FL INC
Practice address
4300 Alton Rd
Suite 2060
Miami Beach, FL 33140-2800
Phone
(305) 532-2464
Fax
(305) 531-2924
NPI assigned
Feb 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
George C Diaz, MD
Title
Treasurer
Phone
(305) 532-2464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X FL Primary

Addresses

Primary practice location

4300 Alton Rd
Suite 2060
Miami Beach, FL 33140-2800

Mailing address

4300 Alton Rd
Suite 2060
Miami Beach, FL 33140-2800
Phone (305) 532-2464

Other identifiers 5

IdentifierTypeStateIssuer
21815OtherFLBLUE CROSS BLUE SHIELD
CH5992OtherFLRAILROAD MEDICARE
253816400MedicaidFL
7970545OtherFLAETNA
3001436OtherFLGHI

National Provider Directory

National Provider Directory

Locations

21000 NE 28th Ave
Ste 204
Aventura, FL 33180
Phone (305) 918-0505

21097 NE 27th Ct
Ste 360
Miami, FL 33180
Phone (305) 466-1836

4300 Alton Rd
Ste 209
Miami Beach, FL 33140
Phone (305) 674-2153

4300 Alton Rd
Ste 2060
Miami Beach, FL 33140
Phone (305) 532-2464

4300 Alton Rd
Ste 330
Miami Beach, FL 33140

4300 Alton Rd
#2060
Miami Beach, FL 33140
Phone (305) 532-2464

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1780657437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "address_2": "SUITE 2060",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402800",
            "telephone_number": "305-532-2464",
            "fax_number": "305-531-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "address_2": "SUITE 2060",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402800",
            "telephone_number": "305-532-2464",
            "fax_number": "305-531-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY GROUP OF SOUTH FL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "305-532-2464",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21815",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH5992",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253816400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7970545",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "3001436",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.