OrganizationActive
Amplified Neurodiagnostics, P. A.
NPI 1689128266 · Point of Service · Hollywood, FL
Provider details
- NPI number
- 1689128266
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Jordan Sanderson, President(717) 580-4189
- License
- CH11618 (FL)
Specialties & taxonomies
Managed Care Organizations
Practice location
2260 N 29th Ave
Unit 302
Hollywood, FL 33020-1710
Phone: (717) 580-4189
Approximate (ZIP-level) locationGet directions
Mailing address
2260 N 29th Ave
Hollywood, FL 33020-1710
Registry dates
- Enumerated
- 2016-08-11
- Last updated
- 2017-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.