1114957750 NPI number — NORMAN FLATEN TODD & HAMMOND NEUROLOGIC CONSULTANTS PA

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114957750 NPI number — NORMAN FLATEN TODD & HAMMOND NEUROLOGIC CONSULTANTS PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORMAN FLATEN TODD & HAMMOND NEUROLOGIC CONSULTANTS PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114957750
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/25/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
150 EAST SAMPLE ROAD
Provider Second Line Business Mailing Address:
SUITE 330
Provider Business Mailing Address City Name:
POMPANO BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33064-3550
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-784-0330
Provider Business Mailing Address Fax Number:
954-784-9518

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
50 EAST SAMPLE ROAD
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
POMPANO BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33064-3550
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-942-3991
Provider Business Practice Location Address Fax Number:
954-941-4594
Provider Enumeration Date:
07/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ROSENZWEIG
Authorized Official First Name:
TODD
Authorized Official Middle Name:
A.
Authorized Official Title or Position:
DIRECTOR/MANAGING PARTNER
Authorized Official Telephone Number:
954-784-0330

Provider Taxonomy Codes

  • Taxonomy code: 2084N0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 374556200 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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