Oviedo Neurology LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

OVIEDO NEUROLOGY LLC

Doing business as

CORE NEUROLOGY

Practice address

1410 W Broadway St Ste 104
Oviedo, FL 32765-6537

Phone

(407) 447-7181

Fax

(407) 447-7184

NPI assigned

Jun 29, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Shasanka Thumu, OWNER

Title

Owner

Phone

(407) 447-7181

Specialties & licenses 1

Addresses

Other names 1

• CORE NEUROLOGY Doing business as

Tax ID family

Oviedo Neurology LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Oviedo Neurology LLC

  • Neurology Physician
  • Oviedo, FL
  • NPI 1417875832
  NPD tax ID

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1699691097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 W BROADWAY ST STE 104",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656537",
            "telephone_number": "407-447-7181",
            "fax_number": "407-447-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 W BROADWAY ST STE 104",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656537",
            "telephone_number": "407-447-7181",
            "fax_number": "407-447-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVIEDO NEUROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "THUMU",
        "authorized_official_first_name": "SHASANKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-447-7181",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORE NEUROLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oviedo Neurology LLC
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• Oviedo Pharmacy and Drug Store LLC
• Oviedo Pharmacy and Drug Store LLC

• Neurology Physician in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.