NPI 1902185143 · live from the CMS NPI Registry
Sunrise Medical Group I, LLC
Psychiatry & Neurology, Neurology in Hollywood, FL. National Provider Identifier 1902185143, active.
NPI record
| NPI | 1902185143 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 4925 Sheridan St Ste 200, Hollywood, FL 33021 |
| Practice phone | 954-981-3850 |
| Mailing address | Po Box 20804, Belfast, ME 04915 |
| Enumerated | August 5, 2011 |
| Last updated | January 4, 2023 |
| Authorized official | Brian Rasmus, Vp, Cfo Tpr |
| Other names | Tenet Florida Physician Services |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurological Surgery | 207T00000X | — |
| Radiology, Diagnostic Radiology | 2085R0202X | — |
| 208VP0000X | — | |
| Physical Therapist | 225100000X | — |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.