MIAMI STROKE, LLC
NPI 1215475025
Psychiatry & Neurology - Vascular Neurology in Miami, FL

Q: What is Miami Stroke, LLC's NPI number?

The NPI number for Miami Stroke, LLC is 1215475025. It was assigned to this organization in the NPPES registry on February 1, 2017.

Q: What is Miami Stroke, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Vascular Neurology, with taxonomy code 2084V0102X.

Q: When was this NPI record last updated?

The NPPES record for Miami Stroke, LLC was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 01, 2017

11750 SW 40TH ST, MIAMI, FL 33175(305) 235-9550 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Aug 22, 2017, Feb 1, 2017 (3 updates tracked since 2017).

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About Miami Stroke, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIAMI STROKE, LLC (NPI 1215475025) is a healthcare organization registered as a vascular neurology in Miami, Florida and active in the NPI registry since February 2017. The organization maintains a secondary practice location in Miami and lists Jennifer Colen, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1215475025

Entity TypeOrganization

Primary Taxonomy2084V0102X

Legal Business NameMIAMI STROKE, LLC

Location Address11750 SW 40TH STMiami, FL 33175-3530

Mailing Address13550 Sw 120th St Ste 502Miami, FL 33186-7505 · (305) 235-9550 · Fax (305) 235-0556

Phone(305) 235-9550

Organization SubpartNo

Authorized OfficialJennifer ColenCredentialing Manager · (305) 235-9550

Enumeration DateFebruary 1, 2017

Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration

✔ NPI 1215475025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Vascular NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084V0102X

Definition

Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.

11750 SW 40TH ST, Miami, FL 33175

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Secondary Practice Location 1

Location 112500 SW 46th StMiami, FL 33175-4724 · Phone (305) 662-5200

Other Identifiers 2

Other23588RFL · P-tan

Medicaid374074900FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACKLYN REYES PANCRUDO D.O.

Internal Medicine (Critical Care Medicine)