Neurologix Diagnostic Services, LLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

NEUROLOGIX DIAGNOSTIC SERVICES, LLC

Practice address

940 Centre Cir Ste 1018
Altamonte Springs, FL 32714-7242

Phone

(321) 320-9601

NPI assigned

Oct 20, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Leonard A. Rollman, DC

Title

Clinic Director

Phone

(321) 320-9601

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1382227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1104254655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 S VOLUSIA AVE STE A2",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637623",
            "telephone_number": "386-775-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 CENTRE CIR STE 1018",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147242",
            "telephone_number": "321-320-9601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Ridgewood Ave Unit B",
            "address_purpose": "LOCATION",
            "city": "Holly Hill",
            "state": "FL",
            "postal_code": "321173619",
            "country_code": "US",
            "telephone_number": "321-320-9601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2415 S Volusia Ave Ste A2",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327637623",
            "country_code": "US",
            "telephone_number": "386-775-6879",
            "fax_number": "386-775-0307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROLOGIX DIAGNOSTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-20",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "ROLLMAN",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "321-320-9601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.