Neurocare Center, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NEUROCARE CENTER, LLC

Practice address

675 Avenue L SE
Winter Haven, FL 33880-4219

Phone

(863) 485-8242

Fax

(863) 220-7522

NPI assigned

Dec 3, 2024

Organization subpart

No

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

Authorized official

Name

Maresa Lugo Montalvo, MD

Title

Director

Phone

(863) 485-8242

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Maresa Lugo, MD

  • Neurology Physician
  • Winter Haven, FL
  • NPI 1477856631
  Medicare reassignment NPD

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1649096892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 AVENUE L SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804219",
            "telephone_number": "863-485-8242",
            "fax_number": "863-220-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 AVENUE L SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804219",
            "telephone_number": "863-485-8242",
            "fax_number": "863-220-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROCARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "LUGO MONTALVO",
        "authorized_official_first_name": "MARESA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "863-485-8242",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nemours Children'S Health, Winter Haven, Primary Care
• Stephen Douglas Nenner, LMHC
• Jennifer L Nesbit, M.S.,CCC-SLP
• Rachel Locke Nettles, COTA/L
• Donald Richard Nettlow Jr., MD
• Neurology& Neurosurgery Associates
• Newave Medical Supplies LLC
• Newberry Clinic of Chiropractic PA Inc
• Gary W Newberry, DC
• Newbold Prosthetics, LLC

• Neurology Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.