NPIMap

Organization Active NPI

Pediatric Neurology of Florida LLC

  • Pediatrics Physician
  • Ocala, FL
National Provider Identifier
1861928368
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC NEUROLOGY OF FLORIDA LLC
Practice address
1315 SE 25TH Loop
Unit 104
Ocala, FL 34471-1030
Phone
(352) 260-7343
NPI assigned
May 4, 2017
Organization subpart
Yes
Parent organization
INSTITUTE OF PEDIATRIC NEUROSCIENCESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Authorized official

Name
Edgard O Andrade, MD
Title
President
Phone
(352) 260-7346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1315 SE 25TH Loop
Unit 104
Ocala, FL 34471-1030

Mailing address

1315 SE 25TH Loop
Unit 104
Ocala, FL 34471-1030
Phone (352) 260-7343

National Provider Directory

National Provider Directory
Part of
Institute of Pediatric Neurosciences

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1861928368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 SE 25TH LOOP",
            "address_2": "UNIT 104",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711030",
            "telephone_number": "352-260-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 SE 25TH LOOP",
            "address_2": "UNIT 104",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711030",
            "telephone_number": "352-260-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC NEUROLOGY OF FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INSTITUTE OF PEDIATRIC NEUROSCIENCES",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "EDGARD",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-260-7346",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "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 May 4, 2017; 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.