Organization Active NPI

Neurology of Central Florida

  • Neurology Physician
  • Altamonte Springs, FL
National Provider Identifier
1417388455
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME98865 Issued in FL
Legal business name
NEUROLOGY OF CENTRAL FLORIDA
Practice address
405 W Central Pkwy Ste 1000
Altamonte Springs, FL 32714-2441
Phone
(407) 790-4990
Fax
(407) 790-4862
NPI assigned
Dec 2, 2013
Last updated
Dec 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Alicia V Cabrera, MDNPI 1770789000
Title
Owner
Phone
(407) 718-2838

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 Physician 2084N0400X ME98865 FL Primary

Addresses

Primary practice location

405 W Central Pkwy Ste 1000
Altamonte Springs, FL 32714-2441

Mailing address

405 W Central Pkwy Ste 1000
Altamonte Springs, FL 32714-2441
Phone (407) 790-4990

Other practice location 1

411 W Central Pkwy
Altamonte Springs, FL 32714-2409
Phone (407) 790-4990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131206000654 FL Part B Supplier - Clinic/Group Practice 7315174992 Receives reassigned benefits from 1 practitioner
Practice locations: Altamonte Springs, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2198971Neurology of Central Florida Research Center405 W Central Pkwy Suite 1010, Altamonte Springs, FL 32714Certificate of waiverNov 4, 2026

National Provider Directory

National Provider Directory

Locations

106 Boston Ave
Ste 204
Altamonte Springs, FL 32701
Phone (407) 401-7457

405 W Central Pkwy
Ste 1000
Altamonte Springs, FL 32714
Phone (407) 790-4990

411 W Central Pkwy
Altamonte Springs, FL 32714
Phone (407) 790-4990

982 Douglas Ave
Ste 102
Altamonte Springs, FL 32714
Phone (407) 790-4990

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIDECA

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1417388455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W CENTRAL PKWY STE 1000",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142441",
            "telephone_number": "407-790-4990",
            "fax_number": "407-790-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W CENTRAL PKWY STE 1000",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142441",
            "telephone_number": "407-790-4990",
            "fax_number": "407-790-4862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 W Central Pkwy",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327142409",
            "country_code": "US",
            "telephone_number": "407-790-4990",
            "fax_number": "407-790-4862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROLOGY OF CENTRAL FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-718-2838",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME98865",
            "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 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.