| Florida Institute of Neurology | |
|
4745 Old Canoe Creek Rd Saint Cloud FL 34769-1400 | |
| (407) 818-1664 | |
| (407) 818-1654 |
| Full Name | Florida Institute of Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neuromuscular Medicine |
| Location | 4745 Old Canoe Creek Rd, Saint Cloud, Florida |
| Authorized Official Name and Position | Rekha Nidadavolu (MANAGER) |
| Authorized Official Contact | 3059059316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Institute of Neurology 4745 Old Canoe Creek Rd Saint Cloud FL 34769-1400 Ph: (407) 818-1664 | Florida Institute of Neurology 4745 Old Canoe Creek Rd Saint Cloud FL 34769-1400 Ph: (407) 818-1664 |
| NPI Number | 1578922613 |
|---|---|
| Provider Enumeration Date | 02/17/2016 |
| Last Update Date | 01/09/2025 |
| Certification Date | 01/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578922613 | NPI | - | NPPES |
| 14H5X | Other | FL | BCBS |
| DS6851 | Other | FL | RAILROAD MEDICARE |
| 003957500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0008X | Psychiatry & Neurology - Neuromuscular Medicine | () | Primary |
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