Kids Neuro Care LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME94141 Issued in FL

Legal business name

KIDS NEURO CARE LLC

Practice address

10931 Dylan Loren Circle
Orlando, FL 32825

Phone

(407) 218-4444

Fax

(321) 284-1514

NPI assigned

Nov 19, 2007

Last updated

May 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Eric Marcus, M.S.

Title

Office Manager

Phone

(407) 218-4444

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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.

• Larah Lucero, P.A.-C

  • Physician Assistant
  • Orlando, FL
  • NPI 1962755611
  NPD (past)
• Sheila Yvette Ramos Martinez, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Orlando, FL
  • NPI 1851599963
  NPD (past)
• Ananthi Rathinam, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Orlando, FL
  • NPI 1811952443
  NPD (past)
• Maria J Rodriguez de Vera, DNP

  • Pediatric Nurse Practitioner
  • Orlando, FL
  • NPI 1821658170
  NPD (past)

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1912188970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10931 DYLAN LOREN CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254449",
            "telephone_number": "407-218-4444",
            "fax_number": "321-284-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10931 DYLAN LOREN CIRCLE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32825",
            "telephone_number": "407-218-4444",
            "fax_number": "321-284-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS NEURO CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-218-4444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME94141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013200100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kid's Therapy Land Bilingual Speech LLC
• Temesgen Alem Kidane, PTA
• Geraldine Kidary, ARNP
• Kidney Care LLC
• Kidoz Therapy Zone LLC
• Kids Therapy ABA LLC
• Kids-Medical
• Kidskidneydoc LLC
• Kidsville Pediatrics IV, P.a.
• Kidsville Pediatrics VI, PA After Hours Clinic

• Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.