Pediatric Neurology Center

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

ME 87941 Issued in FL

Legal business name

PEDIATRIC NEUROLOGY CENTER

Practice address

5133 South Lakeland Drive
Lakeland, FL 33813

Phone

(888) 362-2343

Fax

(888) 388-1340

NPI assigned

Dec 18, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Musarrat N Qureshi, M.D.NPI 1194701094

Title

President

Phone

(888) 362-2343

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Musarrat N Qureshi, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Lakeland, FL
  • NPI 1194701094

  Neurodevelopmental Disabilities

  NPD (past) Authorized official
• Amanda Jayne Jemec, ARNP

  • Family Nurse Practitioner
  • Lakeland, FL
  • NPI 1912427550
  NPD (past)
• Nathali Rodriguez, PA-C

  • Physician Assistant
  • Riverview, FL
  • NPI 1679098701
  NPD (past)
• Cherlange Vil, APRN

  • Family Nurse Practitioner
  • Lakeland, FL
  • NPI 1144795766
  NPD (past)

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

{
    "created_epoch": "1134864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1477539807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5133 SOUTH LAKELAND DRIVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33813",
            "telephone_number": "888-362-2343",
            "fax_number": "888-388-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5133 SOUTH LAKELAND DRIVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33813",
            "telephone_number": "888-362-2343",
            "fax_number": "888-388-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC NEUROLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-18",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "MUSARRAT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-362-2343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "FL",
            "license": "ME 87941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267392400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cori Peck, MD
• Rebecca Kay Peck, APRN, FNP-C
• Pediatric Dentistry of Lakeland, PLLC
• Pediatric Health Choice
• Pediatric Health Choice
• Pediatric Pulmonary Specialists PA
• Pediatric Services of America, LLC
• Pediatric Therapy Services Inc
• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Florida, Inc

• Neurology with Special Qualifications in Child Neurology Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.