NPIMap

Organization Active NPI

The University of Central Florida Board of Trustees

  • Neurology Physician
  • Orlando, FL
National Provider Identifier
1609575786
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
THE UNIVERSITY OF CENTRAL FLORIDA BOARD OF TRUSTEES
Practice address
3280 Progress Dr Ste 500
Orlando, FL 32826-2903
Phone
(407) 266-2343
NPI assigned
Feb 28, 2023
Last updated
Feb 28, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
THE UNIVERSITY OF CENTRAL FLORIDA BOARD OF TRUSTEESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Deborah C. German, MD
Title
Vice President for Health Affairs
Phone
(407) 266-1000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0008X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

3280 Progress Dr Ste 500
Orlando, FL 32826-2903

Mailing address

6850 Lake Nona Blvd FL 3
Orlando, FL 32827-7408
Phone (407) 266-1309

Other names 1

  • UCF Huntington's Clinic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070208000253 FL Part B Supplier - Clinic/Group Practice 9739181470 Receives reassigned benefits from 63 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Orlando, FL

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
The University of Central Florida Board of Trustees12 organizations share this tax ID, including this one
Part of
The University of Central Florida Board of Trustees

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12424 Research Pkwy
Ste 155
Orlando, FL 32826
Phone (407) 249-4770

3275 Progress Dr
Ste A
Orlando, FL 32826
Phone (407) 882-0468

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 57

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.

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1609575786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 LAKE NONA BLVD FL 3",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277408",
            "telephone_number": "407-266-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 PROGRESS DR STE 500",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328262903",
            "telephone_number": "407-266-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE UNIVERSITY OF CENTRAL FLORIDA BOARD OF TRUSTEES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE UNIVERSITY OF CENTRAL FLORIDA BOARD OF TRUSTEES",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "GERMAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "VICE PRESIDENT FOR HEALTH AFFAIRS",
        "authorized_official_telephone_number": "407-266-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCF Huntington's Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.