North Florida Neurodiagnostics, LLC

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

Legal business name

NORTH FLORIDA NEURODIAGNOSTICS, LLC

Practice address

426 SW Commerce Dr Ste 101
Lake City, FL 32025-1506

Phone

(386) 288-5311

Fax

(386) 288-0058

NPI assigned

Jun 11, 2020

Last updated

Jun 24, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

NEUROLOGY CENTER OF NORTH FLORIDA, LLCAs reported in NPPES

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

Authorized official

Name

Ernesto Alonso, M.D.NPI 1396170601

Title

Owner

Phone

(386) 288-5311

Specialties & licenses 3

Addresses

Part of

Neurology Center of North Florida LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Neurology Center of North Florida, LLC

  • Clinic/Center
  • Lake City, FL
  • NPI 1205327939
  NPPES parent name

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.

• Ernesto Alonso, MD

  • Clinical Neurophysiology Physician
  • Lake City, FL
  • NPI 1396170601

  Neurology

  NPD Authorized official

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1851916209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 SW COMMERCE DR STE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320251506",
            "telephone_number": "386-288-5311",
            "fax_number": "386-288-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 SW COMMERCE DR STE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320251506",
            "telephone_number": "386-288-5311",
            "fax_number": "386-288-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA NEURODIAGNOSTICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEUROLOGY CENTER OF NORTH FLORIDA, LLC",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "ALONSO",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-288-5311",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• North Florida Pharmacy, Inc. (North Florida Pharmacy)

• Clinical Neurophysiology Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Clinical Neurophysiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.