Provider Demographics
NPI:1356126791
Name:NEUROSURGERY CONSULTING LLC
Entity type:Organization
Organization Name:NEUROSURGERY CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:POISIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-561-7265
Mailing Address - Street 1:607 CARDINAL ST
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-8213
Mailing Address - Country:US
Mailing Address - Phone:305-561-7265
Mailing Address - Fax:
Practice Address - Street 1:301 NW 84TH AVE STE 303
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1807
Practice Address - Country:US
Practice Address - Phone:754-238-1965
Practice Address - Fax:754-238-1803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-25
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty