TW Florida Stroke Network, Inc.

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

ME78629 Issued in FL

Legal business name

TW FLORIDA STROKE NETWORK, INC.

Practice address

26150 Old 41 Rd
Bonita Springs, FL 34135-6632

Phone

(239) 231-1393

NPI assigned

Jun 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Brain Mason, M.D.

Title

President

Phone

(239) 231-1393

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1881074805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341330548",
            "telephone_number": "239-231-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26150 OLD 41 RD",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341356632",
            "telephone_number": "239-231-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TW FLORIDA STROKE NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "BRAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-231-1393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME78629",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME78629",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME78629",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Truglio, L.C.S.W.
• Michael S Tsipursky, MD
• Wilbur Carey Tucker, M.D.
• Zipporah Tucker
• Matthew Tumbarello
• Seth Ullman, PHARM.D.
• Patricia Ann Unger, LPTA
• Julio Valdes, APRN, FNP-BC
• Yoelkis Valdes, HIS
• Jorge A Valle, M.D.

• Neuroradiology Physician in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Neuroradiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.