Provider Demographics
NPI:1962784173
Name:MIAMI SHORES NEUROLOGY & SLEEP INSTITUTE, LLC
Entity type:Organization
Organization Name:MIAMI SHORES NEUROLOGY & SLEEP INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:SALDANHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-751-6240
Mailing Address - Street 1:9999 NE 2ND AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:MIAMI SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33138-2352
Mailing Address - Country:US
Mailing Address - Phone:305-754-6240
Mailing Address - Fax:305-751-6255
Practice Address - Street 1:9999 NE 2ND AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:MIAMI SHORES
Practice Address - State:FL
Practice Address - Zip Code:33138-2352
Practice Address - Country:US
Practice Address - Phone:305-754-6240
Practice Address - Fax:305-751-6255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-13
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1048952084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFO573AMedicare PIN