Organization Active NPI

Florida Neurology Clinics PA

  • Specialist
  • Largo, FL
National Provider Identifier
1194098616
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME83217 Issued in FL
Legal business name
FLORIDA NEUROLOGY CLINICS PA
Practice address
1258 W Bay Dr
Ste H
Largo, FL 33770-2242
Phone
(727) 584-3313
Fax
(727) 584-3315
NPI assigned
Feb 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Obi Okonkwo-Onuigbo, M.D.NPI 1053348664
Title
President
Phone
(727) 584-3313

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME83217 FL Primary

Addresses

Primary practice location

1258 W Bay Dr
Ste H
Largo, FL 33770-2242

Mailing address

1258 West Bay Dr.
Suite H
Largo, FL 33770-2245
Phone (727) 584-3313

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120223000372 FL Part B Supplier - Clinic/Group Practice 0749448637 Receives reassigned benefits from 1 practitioner
Practice locations: Largo, FL

National Provider Directory

National Provider Directory

Locations

1258 West Bay Dr
Ste H
Largo, FL 33770
Phone (727) 584-3313

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": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1194098616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1258 WEST BAY DR.",
            "address_2": "SUITE H",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702245",
            "telephone_number": "727-584-3313",
            "fax_number": "727-584-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 W BAY DR",
            "address_2": "STE H",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702242",
            "telephone_number": "727-584-3313",
            "fax_number": "727-584-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA NEUROLOGY CLINICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "OKONKWO-ONUIGBO",
        "authorized_official_first_name": "OBI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-584-3313",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME83217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.