NEURODX LLC (NPI# 1104271014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104271014 |
| Entity Type | Organization |
| Organization Name | NEURODX LLC |
| Practice Address |
4714 N Armenia Ave Suite 202 Tampa FL 33603-2603 |
| Practice Telephone | 8134436957 |
| Practice Fax Number | 8134434891 |
| Mailing Telephone | 8134436957 |
| Mailing Fax Number | 8134434891 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |
| Authorized Official Name | DR. EDWIN NELSON PEGUERO (PHYSICIAN) |
| Authorized Official Telephone | 8134436957 |
| 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 |
Allopathic & Osteopathic Physicians |
| Street Address |
4714 N ARMENIA AVE SUITE 202 |
| City | TAMPA |
| State | FL |
| Zip Code | 33603-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689666810 | Dean G Davis | Specialist | 4714 N Armenia Ave, Suite 202, Tampa, FL 33603-2603 | 2005-08-15 |
| 1043745615 | Lauren Devin Kuschel | Nurse Practitioner | 4714 N Armenia Ave, Tampa, FL 33603-2603 | 2017-04-20 |
| 1134461197 | Nicole Mary Miller | Nurse Practitioner | 4714 N Armenia Ave, Suite 201, Tampa, FL 33603-2603 | 2013-03-17 |
| 1841497062 | Kenneth Booher | Audiologist | 4714 N Armenia Ave, Suite 202, Tampa, FL 33603-2603 | 2007-06-29 |
| 1922126010 | Herbert Allen Cox IIi | Audiologist | 4714 N Armenia Ave, Suite 202, Tampa, FL 33603-2603 | 2007-03-27 |
| 1316038466 | John M Prpich II | Pediatrics | 4714 N Armenia Ave, Suite 201, Tampa, FL 33603-2603 | 2006-09-27 |
| 1003928763 | Tampa Speech and Hearing Center Inc | Audiologist | 4714 N Armenia Ave, Suite 202, Tampa, FL 33603-2603 | 2006-08-31 |
| 1033132857 | Pediatric Pulmonary Specialists Pa | Pediatrics | 4714 N Armenia Ave, Suite 201, Tampa, FL 33603-2603 | 2006-07-25 |
| 1346272820 | Drs. Dolgin, Donnelly, Davis & Associates Pa | Specialist | 4714 N Armenia Ave, Suite 200, Tampa, FL 33603-2603 | 2006-07-07 |
| 1629033253 | David Rosenberg | Pediatrics | 4714 N Armenia Ave, Suite 201, Tampa, FL 33603-2603 | 2006-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400959 | Jean V. Dieudonne | Pharmacist | 701 W. Dr Martin Luther King Blvd, Tampa, FL 33603 | 2020-06-03 |
| 1538791082 | Champion Wellness Center of The Heights | Chiropractor | 800 W Martin Luther King Jr Blvd, Suite 3, Tampa, FL 33603 | 2020-02-12 |
| 1700366010 | Marie A Brister Md LLC | Family Medicine | 508 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33603 | 2018-08-16 |
| 1619415197 | Riverside Recovery of Tampa, LLC | Substance Abuse Rehabilitation Facility | 4004 N. Riverside Dr., Tampa, FL 33603 | 2017-02-06 |
| 1306213194 | Jacqueline Dowgiallo | Case Manager/Care Coordinator | 4004 N Riverside Dr, Tampa, FL 33603 | 2015-08-27 |
| 1629487061 | Robin Ann Waters | Social Worker | 1016 W Hillsborough Ave, Tampa, FL 33603 | 2014-08-11 |
| 1831430453 | Cassandra Gonzalez | Social Worker | 1726 W Rio Vista Ave, Tampa, FL 33603 | 2013-03-06 |
| 1487908893 | Spine Injury Physicians LLC | Neurological Surgery | 607 W Martin Luther King Blvd, Suite 1, Tampa, FL 33603 | 2012-11-07 |
| 1861742124 | Joseph Timothy Candelore Jr. | Internal Medicine | 2333 W Hillsborough Ave Ste 160, Tampa, FL 33603 | 2012-09-14 |
| 1679835599 | Odessa Biandudi | Dentist | 825 West Martin Luther King Boulevard, Tampa, FL 33603 | 2012-06-15 |
| Find all providers in zip 33603 | ||||
| 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 |
|---|---|---|---|---|
| 1104387935 | Remyelix Neurology & Multiple Sclerosis Institute, Pllc | Psychiatry & Neurology | 4907 N Florida Ave, Tampa, FL 33603-2119 | 2019-03-26 |
| 1255849055 | Bay Area Neurology LLC | Psychiatry & Neurology | 3225 S Macdill Ave Ste 129-300, Tampa, FL 33629-8171 | 2018-01-15 |
| 1396164042 | Carrie Allison Downey | Psychiatry & Neurology | 13801 Bruce B Downs Blvd Ste 401, Tampa, FL 33613-3997 | 2014-04-09 |
| 1912343310 | Amina Koya Edathodu | Psychiatry & Neurology | 4119 N Armenia Ave, Tampa, FL 33607-6433 | 2013-05-13 |
| 1952600223 | Yazan Mazen Suradi | Psychiatry & Neurology | 2 Tampa General Cir Fl Cir2, Tampa, FL 33606-3603 | 2011-03-25 |
| 1114253796 | Bhavin Patidar | Psychiatry & Neurology | 507 S Macdill Ave Ste 129-300, Tampa, FL 33609 | 2009-11-02 |
| 1942465125 | Bharatkumar Dahyabhai Patel | Psychiatry & Neurology | 6913 Silver Sage Cir, Tampa, FL 33634-1152 | 2008-07-27 |
| 1093976680 | Deborah Finley Boland | Psychiatry & Neurology | 3903 Northdale Blvd Ste 100e, Tampa, FL 33624-1862 | 2008-06-17 |
| 1548438682 | Clara E Cuebas-jimenez | Psychiatry & Neurology | 2835 W. De Leon Street Ste 205, Tampa, FL 33609-4130 | 2008-02-12 |
| 1609061779 | Raphaella Weiser | Psychiatry & Neurology | 3030 N Rocky Point Dr W Ste 150a, Tampa, FL 33607-5803 | 2007-09-11 |
| Find all providers in TAMPA | ||||
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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.