Organization Active NPI

Central Florida Neurologic Consultants, P.a.

  • Neurology Physician
  • Deland, FL
National Provider Identifier
1023056033
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
CENTRAL FLORIDA NEUROLOGIC CONSULTANTS, P.A.
Practice address
742 W Plymouth Ave
Deland, FL 32720-3282
Phone
(386) 736-8622
Fax
(386) 738-7629
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Hendrik Dinkla, M.D.
Title
President
Phone
(386) 736-8622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X FL Primary

Addresses

Primary practice location

742 W Plymouth Ave
Deland, FL 32720-3282

Mailing address

742 W Plymouth Ave
Deland, FL 32720-3282
Phone (386) 736-8622

National Provider Directory

National Provider Directory

Locations

744 W Plymouth Ave
Deland, FL 32720
Phone (386) 736-8622

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1023056033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203282",
            "telephone_number": "386-736-8622",
            "fax_number": "386-738-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203282",
            "telephone_number": "386-736-8622",
            "fax_number": "386-738-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA NEUROLOGIC CONSULTANTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DINKLA",
        "authorized_official_first_name": "HENDRIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-736-8622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.