Organization Active NPI

Neurological Specialists of Central Florida, LLC

  • Neurology Physician
  • Ocala, FL
National Provider Identifier
1821562406
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGICAL SPECIALISTS OF CENTRAL FLORIDA, LLC
Practice address
1724 SE 17TH Ave
Ocala, FL 34471-4623
Phone
(352) 901-6210
Fax
(352) 435-7148
NPI assigned
Jan 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Authorized official

Name
Aaron Campo
Title
Corporate Manager/Owner
Phone
(352) 875-9057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1724 SE 17TH Ave
Ocala, FL 34471-4623

Mailing address

1724 SE 17TH Ave
Ocala, FL 34471-4623

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190429002624 FL Part B Supplier - Clinic/Group Practice 9335481027 Receives reassigned benefits from 3 practitioners
Practice locations: Ocala, FL

National Provider Directory

National Provider Directory

Locations

2500 Citrus Blvd
Leesburg, FL 34748
Phone (352) 315-3804

1724 SE 17th Ave
Ocala, FL 34471
Phone (352) 456-7271

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIGGBD

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1821562406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 SE 17TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 SE 17TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714623",
            "telephone_number": "352-901-6210",
            "fax_number": "352-435-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL SPECIALISTS OF CENTRAL FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "CAMPO",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CORPORATE MANAGER/OWNER",
        "authorized_official_telephone_number": "352-875-9057"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.