Organization Active NPI

Nuerology Associates of Central Florida, P.a.

  • Neurology Physician
  • Summerfield, FL
National Provider Identifier
1902037781
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME104573 Issued in FL
Legal business name
NUEROLOGY ASSOCIATES OF CENTRAL FLORIDA, P.A.
Practice address
10250 SE 167TH Place Rd
Suite 5-1
Summerfield, FL 34491-8682
Phone
(352) 307-9925
Fax
(352) 383-0033
NPI assigned
Jul 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Authorized official

Name
Khai S Chang, M.D.
Title
President
Phone
(352) 735-3755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X ME104573 FL Primary

Addresses

Primary practice location

10250 SE 167TH Place Rd
Suite 5-1
Summerfield, FL 34491-8682

Mailing address

10250 SE 167TH Place Rd
Suite 5-1
Summerfield, FL 34491-8682
Phone (352) 307-9925

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1902037781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 SE 167TH PLACE RD",
            "address_2": "SUITE 5-1",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918682",
            "telephone_number": "352-307-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 SE 167TH PLACE RD",
            "address_2": "SUITE 5-1",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918682",
            "telephone_number": "352-307-9925",
            "fax_number": "352-383-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUEROLOGY ASSOCIATES OF CENTRAL FLORIDA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "KHAI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-735-3755",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME104573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.