| Dr Naga Lakshmana Prasad Nidadavolu, MD | |
|
4745 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400 | |
| (407) 818-1664 | |
| (407) 818-1654 |
| Full Name | Dr Naga Lakshmana Prasad Nidadavolu |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 29 Years |
| Location | 4745 Old Canoe Creek Rd, Saint Cloud, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386835601 | NPI | - | NPPES |
| 003957500 | Medicaid | FL | |
| ME109423 | Other | FL | FLORIDA MEDICAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0008X | Psychiatry & Neurology - Neuromuscular Medicine | ME109423 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Orlando | Orlando, FL | Hospital |
| St Cloud Regional Medical Center | Saint cloud, FL | Hospital |
| Poinciana Medical Center | Kissimmee, FL | Hospital |
| Orlando Health | Orlando, FL | Hospital |
| Osceola Regional Medical Center | Kissimmee, FL | Hospital |
| Entity Name | Lake City Institute Of Neurology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710266895 PECOS PAC ID: 8628249935 Enrollment ID: O20110919000097 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Naga Lakshmana Prasad Nidadavolu, MD 4745 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400 Ph: (407) 818-1664 | Dr Naga Lakshmana Prasad Nidadavolu, MD 4745 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400 Ph: (407) 818-1664 |
Dr. Abimael Rivera Garcia, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2521 13th St, Suite D, Saint Cloud, FL 34769 Phone: 407-734-1273 | |
Dr. Andres Montalvo, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2521 13th St Ste D, Saint Cloud, FL 34769 Phone: 407-734-1273 Fax: 866-738-7531 | |
Dr. Reynaldo J. Perez, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2013 Live Oak Blvd Ste B, Saint Cloud, FL 34771 Phone: 407-734-1273 | |
Dr. Avi Elizabeth Domnitz-gebet, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4107 Neptune Rd, Saint Cloud, FL 34769 Phone: 321-805-4398 |