OrganizationActive
Neuro Iom Services Inc
NPI 1104980648 · Neurology Physician · Lake Worth, FL
Provider details
- NPI number
- 1104980648
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Johnson, Coo(410) 666-2588
- License
- ME0044967 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1926 10th Ave N
Suite 105
Lake Worth, FL 33461-3369
Phone: (561) 540-4458
Fax: (561) 540-5939
Street-level locationGet directions
Mailing address
11011 Mccormick Rd.
Hunt Valley, MD 21031-8619
Registry dates
- Enumerated
- 2006-12-20
- Last updated
- 2014-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.