South Florida Neurological

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

HCC5957 Issued in FL

Legal business name

SOUTH FLORIDA NEUROLOGICAL

Practice address

601 E Sample Rd Ste 104
Pompano Beach, FL 33064-4443

Phone

(954) 941-1399

Fax

(954) 941-3103

NPI assigned

Nov 13, 2007

Last updated

Nov 13, 2007By 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

Jorge Ciccone

Title

Owner

Phone

(954) 941-1399

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1811177264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E SAMPLE RD STE 104",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644443",
            "telephone_number": "954-941-1399",
            "fax_number": "954-941-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E SAMPLE RD STE 104",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644443",
            "telephone_number": "954-941-1399",
            "fax_number": "954-941-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA NEUROLOGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "CICCONE",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-941-1399"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "HCC5957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Florida Care Center, Inc.
• South Florida Colorectal Institute PLLC
• South Florida Frontline Recovery Center
• South Florida Medical Centers, Inc (SFMC Group of Pompano)
• South Florida Mobility, Inc. (Active Mobility Center)
• South Florida Same Day Surgery
• South Florida Surgery Center
• South Florida Surgical Specialists, LLC
• South Florida Surgical Specialists, LLC
• South Florida TCM Incorporated

• Family Nurse Practitioner in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.