Seminole Neurology Associates PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME34679 Issued in FL

Legal business name

SEMINOLE NEUROLOGY ASSOCIATES PA

Practice address

1403 Medical Plaza Dr
Suite 204
Sanford, FL 32771-1000

Phone

(407) 324-5500

Fax

(407) 324-5584

NPI assigned

Mar 4, 2009

Last updated

May 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bhupinder Singh Mangat, MDNPI 1043213234

Title

President

Phone

(407) 324-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bhupinder S Mangat, M.D.

  • Specialist
  • Sanford, FL
  • NPI 1043213234
  Authorized official Same address or phone

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1417197393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 MEDICAL PLAZA DR",
            "address_2": "SUITE 204",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711000",
            "telephone_number": "407-324-5500",
            "fax_number": "407-324-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 MEDICAL PLAZA DR",
            "address_2": "SUITE 204",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711000",
            "telephone_number": "407-324-5500",
            "fax_number": "407-324-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMINOLE NEUROLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "MANGAT",
        "authorized_official_first_name": "BHUPINDER",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-324-5500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME34679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371305900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seminole County Public Schools
• Seminole County Sheriff's Office
• Seminole Emergency Group LLC
• Seminole Eye Care LLC
• Seminole Health Care LLC (Home Helpers and Direct Link of Sanford)
• Seminole Support Services
• Senior Sidekicks of Central Florida LLC
• Leidee Karenna Senors, M.D.
• Jacqueline Seoane, MD
• Serene Minds Wellness LLC

• Specialist in Sanford, FL
• Providers in Sanford, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; 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.