Pediatric Neurodevelopmental Associates

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

Legal business name

PEDIATRIC NEURODEVELOPMENTAL ASSOCIATES

Practice address

3282 Toscana Dr
Saint Cloud, FL 34772-6710

Phone

(813) 450-6128

NPI assigned

Jul 13, 2022

Last updated

Jul 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Avi Elizabeth Domnitz-Gebet, DONPI 1619125622

Title

Physician

Phone

(813) 450-6128

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Avi Elizabeth Domnitz-Gebet, DO

  • Neurology with Special Qualifications in Child Neurology Physician
  • Saint Cloud, FL
  • NPI 1619125622
  NPD Authorized official

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1629702717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3282 TOSCANA DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347726710",
            "telephone_number": "813-450-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3282 TOSCANA DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347726710",
            "telephone_number": "813-450-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC NEURODEVELOPMENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "DOMNITZ-GEBET",
        "authorized_official_first_name": "AVI",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "813-450-6128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zuleima Patiarroy
• Jolene D Patterson, DC
• Sendy Paul Pascal, NP
• PCS & Behavior Services LLC
• Stephanie Pearo
• Pediatric Universe, LLC
• Pediatrics of Central Florida P.a.
• Pediatrix Therapies Inc
• Pee Jay Inc
• Pee Jay Inc (Prescriptions Unlimited VC)

• Neurology with Special Qualifications in Child Neurology Physician in Saint Cloud, FL
• Providers in Saint Cloud, 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 Jul 25, 2022; 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.