NEUROLOGY & NEURODIAGNOSTICS LLC (NPI# 1760882617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760882617 |
| Entity Type | Organization |
| Organization Name | NEUROLOGY & NEURODIAGNOSTICS LLC |
| Practice Address |
1355 S International Pkwy Suite 2451 Lake Mary FL 32746-1694 |
| Mailing Address |
Po Box 951316 Lake Mary FL 32795-1316 |
| Practice Telephone | 4072503290 |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2016-11-18 |
| Authorized Official Name | DR. JUAN ROS-ESCALANTE (PHYSICIAN) |
| Authorized Official Telephone | 6027435501 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME109269 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1355 S INTERNATIONAL PKWY SUITE 2451 |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746-1694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598706442 | Balinder S Chahal | Psychiatry & Neurology | 1355 S International Pkwy, Ste.2491, Lake Mary, FL 32746-1696 | 2006-06-10 |
| 1790100873 | Advanced Heart and Vascular Medicine, Inc. | Internal Medicine | 1355 S International Pkwy, Suite 1481, Lake Mary, FL 32746-1694 | 2014-02-26 |
| 1174862882 | Rebecca C Villar | Clinical Neuropsychologist | 1355 S International Pkwy, Ste 2471, Lake Mary, FL 32746-1694 | 2013-02-01 |
| 1831421403 | Jorge Gomez Md Pa | Internal Medicine | 1355 S International Pkwy, 1451, Lake Mary, FL 32746-1694 | 2010-02-08 |
| 1942345624 | Balinder S. Chahal, Md. P.a. | Psychiatry & Neurology | 1355 S International Pkwy, Suite 2491, Lake Mary, FL 32746-1694 | 2007-02-21 |
| 1629151683 | Jacob K Agamasu Md Pa | Internal Medicine | 1355 S International Pkwy, Suite 1481, Lake Mary, FL 32746-1694 | 2006-10-23 |
| 1104909647 | Juan Ros-escalante | Psychiatry & Neurology | 1355 S International Pkwy, Suite 2451, Lake Mary, FL 32746-1694 | 2006-10-20 |
| 1396754172 | Jorge O Diaz Md Pa | Internal Medicine | 1355 S International Pkwy, Suite 1451, Lake Mary, FL 32746-1694 | 2006-08-07 |
| 1487663373 | Jorge O. Diaz | Internal Medicine | 1355 S International Pkwy, Suite 1451, Lake Mary, FL 32746-1694 | 2006-08-07 |
| 1194767467 | Balinder S. Chahal, Md., Pa | Psychiatry & Neurology | 1355 S International Pkwy, #2491, Lake Mary, FL 32746-1696 | 2006-06-12 |
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| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
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| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
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| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104909647 | Juan Ros-escalante | Psychiatry & Neurology | 1355 S International Pkwy, Suite 2451, Lake Mary, FL 32746-1694 | 2006-10-20 |
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| 1811461353 | Ricardo Villalobos Pa | Psychiatry & Neurology | 16606 Broadwater Ave, Winter Garden, FL 34787 | 2019-01-17 |
| 1164995528 | Rayyan Neurological Association LLC | Psychiatry & Neurology | 10022 Crystalline Ct, Orlando, FL 32836-6024 | 2019-01-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.