OrganizationActive
Southeast Diagnostic Consultants, LLC
NPI 1083327886 · Clinical Neurophysiology Physician · Miami, FL
Provider details
- NPI number
- 1083327886
- Entity type
- Organization
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roxanna Laroque, Director, Client Experience(210) 598-4277
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Electrodiagnostic Medicine Physician204R00000X
Allopathic & Osteopathic Physicians
- Neurology Physician2084N0400X
Allopathic & Osteopathic Physicians
Technologists, Technicians & Other Technical Service Providers
Practice location
2000 S Bayshore Dr Apt 56
Miami, FL 33133-3252
Phone: (210) 598-4277
Approximate (ZIP-level) locationGet directions
Mailing address
1141 N Loop 1604 E # 105-612
San Antonio, TX 78232-1339
Other names (DBA / former)
- Doing business as
- Southeast Neurology, LLC
Registry dates
- Enumerated
- 2022-12-27
- Last updated
- 2022-12-27
- Certified
- 2022-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.