Organization Active NPI

Parkinsons & Movement Disorders Clinic of Orlando, Inc.

  • Neurology Physician
  • Altamonte Springs, FL
National Provider Identifier
1063824845
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME97148 Issued in FL
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

Updated by the provider on Jul 15, 2014

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.