Active NPI
Uced PLLC
- Neurology with Special Qualifications in Child Neurology Physician
- Leesburg, FL
National Provider Identifier
1144663162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- ME 106875
- Legal business name
- UCED PLLC
- Practice address
- 312 S Lake St
Leesburg, FL 34748-5920 - Phone
- (973) 204-4727
- NPI assigned
- Apr 9, 2013
- 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
- Arthur E Nwaubani, MD
- Title
- Owner
- Phone
- (973) 204-4727
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | ME 106875 | FL | Primary |
| Clinical Neurophysiology Physician | 2084N0600X | ME 106875 | FL |
Addresses
Primary practice location
312 S Lake St
Leesburg, FL 34748-5920
Mailing address
PO Box 490950
Leesburg, FL 34749-0950
Phone (973) 204-4727
Other names 1
- Child Neurology & Epilepsy Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
312 S Lake St
Leesburg, FL 34748
Phone (352) 314-9300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Leesburg, FL
- NPI 1679748107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365465600000",
"number": "1144663162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 490950",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347490950",
"telephone_number": "973-204-4727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 S LAKE ST",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347485920",
"telephone_number": "973-204-4727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UCED PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-09",
"last_updated": "2013-04-09",
"status": "A",
"authorized_official_last_name": "NWAUBANI",
"authorized_official_first_name": "ARTHUR",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-204-4727",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "FL",
"license": "ME 106875",
"primary": true
},
{
"code": "2084N0600X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "FL",
"license": "ME 106875",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Child Neurology & Epilepsy Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.