St. Cloud Neurology, P.a.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME76267 Issued in FL

Legal business name

ST. CLOUD NEUROLOGY, P.A.

Practice address

451 SW Bethany Dr
Suite 101
Port St Lucie, FL 34986-1964

Phone

(772) 203-9356

Fax

(772) 249-0137

NPI assigned

Feb 19, 2009

Organization subpart

No

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

Authorized official

Name

Paul Schmidt, MD

Title

Physician/Owner

Phone

(772) 204-5468

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1508005273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 SW BETHANY DR",
            "address_2": "SUITE 101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861964",
            "telephone_number": "772-203-9356",
            "fax_number": "772-249-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 SW BETHANY DR",
            "address_2": "SUITE 101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861964",
            "telephone_number": "772-203-9356",
            "fax_number": "772-249-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CLOUD NEUROLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "772-204-5468",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME76267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.