CHILD NEUROLOGY CENTER OF NW FL PA (NPI# 1841569357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841569357 |
| Entity Type | Organization |
| Organization Name | CHILD NEUROLOGY CENTER OF NW FL PA |
| Other Organization Name | CNC SLEEP |
| Practice Address |
400 Gulf Breeze Pkwy Suite 202 Gulf Breeze FL 32561-4495 |
| Mailing Address |
Po Box 280 Gulf Breeze FL 32562-0280 |
| Practice Telephone | 8509325055 |
| Practice Fax Number | 8504321401 |
| Mailing Telephone | 8509325055 |
| Mailing Fax Number | 8509169331 |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |
| Authorized Official Name | MR. DAVID SUHRBIER (PROVIDER) |
| Authorized Official Telephone | 8509325055 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | Y |
| Parent Organization Name | CHILD NEUROLOGY CENTER OF NW FL PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CNC Sleep | Other Name - Individual/Organization |
| Street Address |
400 GULF BREEZE PKWY SUITE 202 |
| City | GULF BREEZE |
| State | FL |
| Zip Code | 32561-4495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063414092 | Genei S Bougher | Nurse Practitioner | 400 Gulf Breeze Pkwy, Suite 300, Gulf Breeze, FL 32561-4495 | 2005-08-10 |
| 1548700479 | Lindi Nathaleanne Evers | Nurse Practitioner | 400 Gulf Breeze Pkwy, Suite 204, Gulf Breeze, FL 32561-4495 | 2017-02-25 |
| 1255708681 | Mailande Dedeaux | Physician Assistant | 400 Gulf Breeze Pkwy, Suite 300, Gulf Breeze, FL 32561-4458 | 2015-09-02 |
| 1396135117 | Emerald Coast Pediatric Sleep Consultants, LLC | Nurse Practitioner | 400 Gulf Breeze Pkwy, Suite 204, Gulf Breeze, FL 32561-4495 | 2015-02-01 |
| 1396915898 | Weldon Arnold Mauney IIi | Specialist | 400 Gulf Breeze Pkwy, Suite 300, Gulf Breeze, FL 32561-4495 | 2008-03-11 |
| 1285794826 | Sonia A Smith | Nurse Practitioner | 400 Gulf Breeze Pkwy, Suite 300, Gulf Breeze, FL 32561-4495 | 2006-12-12 |
| 1861410979 | Tracy A Ezelle | Nurse Practitioner | 400 Gulf Breeze Pkwy, Suite 300, Gulf Breeze, FL 32561-4495 | 2006-07-17 |
| 1053392233 | Child Neurology Center of Northwest Florida Pa | Specialist | 400 Gulf Breeze Pkwy, Suite 300, Gulf Breeze, FL 32561-4495 | 2005-11-07 |
| 1780686717 | James Ben Renfroe | Psychiatry & Neurology | 400 Gulf Breeze Pkwy, Ste 300, Gulf Breeze, FL 32561-4495 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700416815 | Susan Carol Bane | Physical Therapist | 1500 Via Deluna, D6, Pensacola Beach, FL 32561 | 2020-01-17 |
| 1174027478 | Aegis Group Practice LLC | Occupational Therapist | 50 Joachim Drive, Gulf Breeze, FL 32561 | 2018-03-21 |
| 1497296081 | Gulf Coast Health System Imaging, LLC | Clinic/Center | 4033 Gulf Breeze Parkway, Gulf Breeze, FL 32561 | 2017-03-15 |
| 1265836233 | Karen Tarvid | Radiologic Technologist | 1390 Fort Pickens Road, 212, Gulf Breeze, FL 32561 | 2014-10-20 |
| 1063825990 | Thomas Ryan Mcpherson | Dentist | 41 Fairpoint Dr Ste A, Gulf Breeze, FL 32561 | 2014-06-09 |
| 1316210974 | White Edward Gibson IIi | Internal Medicine | 408 N. Sunset Blvd., Gulf Breeze, FL 32561 | 2012-02-13 |
| 1467742866 | Katherine Seipel Crawford | Pediatrics | 15 Daniel Dr, Gulf Breeze, FL 32561 | 2011-04-19 |
| 1497067987 | Total Spinal Solutions LLC | Clinic/Center | 1300 Shoreline Drive, Ste. 104, Gulf Breeze, FL 32561 | 2010-07-13 |
| 1528184322 | Bonnie Dansby | Nurse Practitioner | 1600 Via Deluna Drive, E403, Pensacola Beach, FL 32561 | 2007-03-22 |
| 1891841425 | Darby Lynn Godwin | Psychologist | 7 Center Road, Gulf Breeze, FL 32561 | 2007-01-26 |
| Find all providers in zip 32561 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811965304 | Jhablall Balmakund | Psychiatry & Neurology | 400 Gulf Breeze Pkwy Ste 300, Gulf Breeze, FL 32561-4458 | 2006-03-09 |
| 1952310443 | Sara Anne Winchester | Psychiatry & Neurology | 400 Gulf Breeze Pkwy Ste 300, Gulf Breeze, FL 32561-4458 | 2006-08-05 |
| 1780686717 | James Ben Renfroe | Psychiatry & Neurology | 400 Gulf Breeze Pkwy, Ste 300, Gulf Breeze, FL 32561-4495 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841724861 | Neuro and Epilepsy Care Inc | Psychiatry & Neurology | 331 N Maitland Ave Ste D3, Maitland, FL 32751-4755 | 2017-04-17 |
| 1407201510 | Robert Kropp | Psychiatry & Neurology | 100 Beach Dr Ne Unit 1702, Saint Petersburg, FL 33701-3969 | 2016-04-26 |
| 1497142178 | Gian Carlo Rossi | Psychiatry & Neurology | 1324 Lakeland Hills Blvd Ste A, Lakeland, FL 33805-4543 | 2015-04-21 |
| 1851638167 | Ernesto J. Millan Md. Pa. | Psychiatry & Neurology | 5110 N. Habana Ave. Suite #1, Tampa, FL 33614-6873 | 2013-01-07 |
| 1942557863 | Henry Osso-rivera | Psychiatry & Neurology | 3100 Sw 62nd Ave Ofc, Miami, FL 33155-3009 | 2012-08-09 |
| 1235492679 | Clermont Neurology,pa | Psychiatry & Neurology | 17307 Pagonia Dr., Suite 100, Clermont, FL 34711-5932 | 2012-06-20 |
| 1093073645 | Abigail E Ley | Psychiatry & Neurology | 150 Sw Chamber Ct Ste 120, Port Saint Lucie, FL 34986 | 2012-05-01 |
| 1033351317 | Danilo Augusto Duenas | Psychiatry & Neurology | 9900 S. Ocean Dr., (601), Jensen Beach, FL 34957 | 2009-04-01 |
| 1619125622 | Avi Elizabeth Domnitz-gebet | Psychiatry & Neurology | 5129 S Lakeland Dr Ste 2, Lakeland, FL 33813-2599 | 2008-09-03 |
| 1508021742 | Germano Falcao | Psychiatry & Neurology | 2984 Alafaya Trl Ste 2020, Oviedo, FL 32765-7628 | 2008-07-28 |
| Find all providers with the same taxonomy | ||||
| City | GULF BREEZE |
| Zip Code | 32561 |
Please comment or provide details below to improve the information on CHILD NEUROLOGY CENTER OF NW FL PA.
| 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.