Active NPI
Antonio Disclafani II, MD
- Neurological Surgery Physician
- Ocala, FL
National Provider Identifier
1497843254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- ME 53493
- Practice address
- 1901 SE 18TH Ave
Suite 101
Ocala, FL 34471-8215 - Phone
- (352) 622-3360
- Fax
- (352) 671-3269
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | ME 53493 | FL | Primary |
Addresses
Primary practice location
1901 SE 18TH Ave
Suite 101
Ocala, FL 34471-8215
Mailing address
1901 SE 18TH Ave
Suite 101
Ocala, FL 34471-8215
Phone (352) 622-3360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 048887900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 53493 | FL | MD | Neurological Surgery Physician |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430784000000",
"number": "1497843254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 SE 18TH AVE",
"address_2": "SUITE 101",
"city": "OCALA",
"state": "FL",
"postal_code": "344718215",
"telephone_number": "352-622-3360",
"fax_number": "352-671-3269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 SE 18TH AVE",
"address_2": "SUITE 101",
"city": "OCALA",
"state": "FL",
"postal_code": "344718215",
"telephone_number": "352-622-3360",
"fax_number": "352-671-3269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISCLAFANI",
"first_name": "ANTONIO",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2015-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "FL",
"license": "ME 53493",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "048887900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.