Organization Active NPI

Migraine and Headache Center of Florida, LLC

  • Neurology Physician
  • Altamonte Springs, FL
National Provider Identifier
1184445124
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
MIGRAINE AND HEADACHE CENTER OF FLORIDA, LLC
Practice address
249 Maitland Ave Ste 3100
Altamonte Springs, FL 32701-4906
Phone
(407) 960-1067
Fax
(407) 960-1076
NPI assigned
Oct 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Authorized official

Name
Bernadette Nazario-Lopez, MDNPI 1659688018
Title
Owner
Phone
(407) 960-1067

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 1

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

Addresses

Primary practice location

249 Maitland Ave Ste 3100
Altamonte Springs, FL 32701-4906

Mailing address

PO Box 940065
Maitland, FL 32794-0065
Phone (407) 960-1067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250114001385 FL Part B Supplier - Clinic/Group Practice 8224566559 Receives reassigned benefits from 1 practitioner
Practice locations: Altamonte Springs, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1184445124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940065",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327940065",
            "telephone_number": "407-960-1067",
            "fax_number": "407-960-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 MAITLAND AVE STE 3100",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014906",
            "telephone_number": "407-960-1067",
            "fax_number": "407-960-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGRAINE AND HEADACHE CENTER OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "NAZARIO-LOPEZ",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-960-1067",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "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 Dec 26, 2024; 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.

Verify at the official NPI Registry.