Active NPI
Parkinsons & Movement Disorders Clinic of Orlando, Inc.
- Neurology Physician
- Altamonte Springs, FL
National Provider Identifier
1063824845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME97148
- Legal business name
- PARKINSONS & MOVEMENT DISORDERS CLINIC OF ORLANDO, INC.
- Practice address
- 106 Boston Ave
Suite 204
Altamonte Springs, FL 32701-4731 - Phone
- (407) 723-7172
- Fax
- (407) 423-9505
- NPI assigned
- May 28, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Manuel Alex Gonzalez, M.D.
- Title
- President
- Phone
- (407) 903-9360
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME97148 | FL | Primary |
Addresses
Primary practice location
106 Boston Ave
Suite 204
Altamonte Springs, FL 32701-4731
Mailing address
106 Boston Ave
Suite 204
Altamonte Springs, FL 32701-4731
National Provider Directory
National Provider DirectoryLocations
171 Webb Dr
Davenport, FL 33837
Phone (863) 204-9800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405382400000",
"number": "1063824845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 BOSTON AVE",
"address_2": "SUITE 204",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327014731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 BOSTON AVE",
"address_2": "SUITE 204",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327014731",
"telephone_number": "407-723-7172",
"fax_number": "407-423-9505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKINSONS & MOVEMENT DISORDERS CLINIC OF ORLANDO, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-28",
"last_updated": "2014-07-15",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "MANUEL",
"authorized_official_middle_name": "ALEX",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-903-9360",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME97148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.