Active NPI
Florida Neurology Institute
- Neurology Physician
- Lakeland, FL
National Provider Identifier
1962444372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME86321
- Legal business name
- FLORIDA NEUROLOGY INSTITUTE
- Practice address
- 1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543 - Phone
- (352) 254-0053
- Fax
- (352) 324-2929
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Marisol Gonzalez
- Title
- Office Manager
- Phone
- (352) 254-0233
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME86321 | FL | Primary |
Addresses
Primary practice location
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Mailing address
PO Box 493235
Leesburg, FL 34749-3235
Phone (352) 254-0233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3140 NW Medical Center Ln
Ste 100
Lake City, FL 32055
Phone (386) 752-4004
11602 Lake Underhill Rd
Ste 116
Orlando, FL 32825
Phone (352) 254-0233
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FAHDAD
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Melbourne, FL
- NPI 1609826213
-
- Behavior Analyst
- Melbourne, FL
- NPI 1952248577
-
- Chiropractor
- Orlando, FL
- NPI 1821480591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277424000000",
"number": "1962444372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 493235",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347493235",
"telephone_number": "352-254-0233",
"fax_number": "352-324-2929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338054543",
"telephone_number": "352-254-0053",
"fax_number": "352-324-2929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA NEUROLOGY INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2010-06-25",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "MARISOL",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "352-254-0233",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME86321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
- Florida Em-I Medical Services PA
- Florida Heart & Vascular Specialists PA
- Florida Heart and Vascular Surgical Center, LLC
- Florida Living Options Inc
- Florida Mentor
- Florida PH-I, LLC
- Florida Presbyterian Homes, Inc
- Florida Presbyterian Homes, Inc.
- Florida Presbyterian Homes, LLC
- Florida Retina Consultants P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.