Organization Active NPI

Child Neurology Center of NW FL PA

  • Neurology with Special Qualifications in Child Neurology Physician
  • Gulf Breeze, FL
National Provider Identifier
1841569357
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
Legal business name
CHILD NEUROLOGY CENTER OF NW FL PA
Practice address
400 Gulf Breeze Pkwy
Suite 202
Gulf Breeze, FL 32561-4495
Phone
(850) 932-5055
Fax
(850) 432-1401
NPI assigned
Dec 29, 2011
Organization subpart
Yes
Parent organization
CHILD NEUROLOGY CENTER OF NW FL PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Mr. David Suhrbier, D.O.
Title
Provider
Phone
(850) 932-5055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0402X Primary

Addresses

Primary practice location

400 Gulf Breeze Pkwy
Suite 202
Gulf Breeze, FL 32561-4495

Mailing address

PO Box 280
Gulf Breeze, FL 32562-0280
Phone (850) 932-5055

Other names 1

  • CNC Sleep Other name

National Provider Directory

National Provider Directory
Tax ID family
Child Neurology Center of Northwest Florida PA2 organizations share this tax ID, including this one
Part of
Child Neurology Center of Northwest Florida PA

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1841569357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325620280",
            "telephone_number": "850-932-5055",
            "fax_number": "850-916-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GULF BREEZE PKWY",
            "address_2": "SUITE 202",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614495",
            "telephone_number": "850-932-5055",
            "fax_number": "850-432-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD NEUROLOGY CENTER OF NW FL PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILD NEUROLOGY CENTER OF NW FL PA",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "SUHRBIER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "850-932-5055",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "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": [
        {
            "organization_name": "CNC Sleep",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.