Active NPI
Florida Neurology Clinics PA
- Specialist
- Largo, FL
National Provider Identifier
1194098616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME83217
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Obi Okonkwo-Onuigbo, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120223000372 | FL | Part B Supplier - Clinic/Group Practice | 0749448637 |
Receives reassigned benefits from 1 practitioner Practice locations: Largo, FL |
National Provider Directory
National Provider DirectoryLocations
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
- Florida Cancer Specialists & Research Institute, LLC
- Florida Cancer Specialists & Research Institute, LLC
- Florida Center for Gastroenterology
- Florida Em-I Medical Services PA
- Florida Neurology Associates LLC
- Florida Oculoplastics, LLC
- Florida on Site Medical Services, LLC
- Florida Pain & Spine Solutions
- Florida Physical Medicine LLC
- Florida Physical Therapy,LLC
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.