Provider Demographics
NPI:1861961344
Name:EXPERT NEUROSURGICAL SERVICES LLC
Entity type:Organization
Organization Name:EXPERT NEUROSURGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:OSBORN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-935-9233
Mailing Address - Street 1:600 HERITAGE DR STE 105
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-3098
Mailing Address - Country:US
Mailing Address - Phone:561-935-9233
Mailing Address - Fax:855-205-7185
Practice Address - Street 1:600 HERITAGE DR STE 105
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-3098
Practice Address - Country:US
Practice Address - Phone:561-935-9233
Practice Address - Fax:855-205-7185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-14
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty