DEEPAK TIKKU (NPI# 1689748345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689748345 |
| Entity Type | Individual |
| Full Name | DEEPAK TIKKU |
| Credential | M.D. |
| Practice Address |
2808 Enterprise Rd Suite 104 Debary FL 32713-2753 |
| Practice Telephone | 3866246900 |
| Practice Fax Number | 3866246993 |
| Mailing Telephone | 3866246900 |
| Mailing Fax Number | 3866246993 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2016-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | ME96609 | FL | Other Service Providers |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME96609 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002197200 | 05 |
| Street Address |
2808 ENTERPRISE RD SUITE 104 |
| City | DEBARY |
| State | FL |
| Zip Code | 32713-2753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518326503 | Advantacare Multi-specialty Group, LLC | Physical Medicine & Rehabilitation | 2808 Enterprise Rd, Suite 105, Debary, FL 32713-2753 | 2016-02-18 |
| 1992088009 | Neurology Center of Florida LLC | Specialist | 2808 Enterprise Rd, Suite 104, Debary, FL 32713-2753 | 2011-09-25 |
| 1174852412 | Advantacare of Florida LLC | Specialist | 2808 Enterprise Rd, Suite 105, Debary, FL 32713-2753 | 2009-12-16 |
| 1255450870 | Timothy Glomb | Dentist | 2808 Enterprise Rd, Ste. 102, Debary, FL 32713-2753 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162766 | Jessica Crystal Daigle | Nurse Practitioner | 620 Spring Vista Dr, Ste 101, Debary, FL 32713 | 2020-07-23 |
| 1407320476 | 1st Call Urgent Care | Emergency Medicine | 173 North C.r. Beall Blvd., Suite 106, Debbary, FL 32713 | 2019-01-14 |
| 1073029294 | Ryan Patrick Mcneel | Chiropractor | 100 Pond Court, #103, Debary, FL 32713 | 2017-12-26 |
| 1528589249 | Jennifer Ellen Schaich | Technician, Pathology | 223 Bayou Vista St, Debary, FL 32713 | 2017-07-03 |
| 1083090807 | Home Modification Design, LLC | Home Health | 17 Pleasant Hill Drive, Debary, FL 32713 | 2015-08-04 |
| 1215319793 | Orlando Skin Institute, LLC | Dermatology | 110 Pond Ct, Ste 301, Debary, FL 32713 | 2015-06-22 |
| 1811255680 | Dana Louise Cannon | Massage Therapist | 17 Canter Club Court, Debary, FL 32713 | 2012-04-30 |
| 1811265127 | Orly Tyrkala | Pharmacist | 15 N Highway 1792, Debary, FL 32713 | 2011-12-01 |
| 1225331226 | Teresa Miller | Massage Therapist | 430 Summerhaven Drive, 300, Debary, FL 32713 | 2010-12-13 |
| 1043522857 | Amanda Ellen Lang | Behavioral Analyst | 454 Fort Florida Rd, Debary, FL 32713 | 2010-07-08 |
| Find all providers in zip 32713 | ||||
| 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 |
|---|---|---|---|---|
| 1043820087 | Lewis Leckey Hamilton | Psychiatry & Neurology | 471 Palm Ave, Boca Grande, FL 33921-1157 | 2020-08-04 |
| 1588282776 | Magic Medical Specialties Corp | Psychiatry & Neurology | 9421 S Orange Blossom Trl # 19, Orlando, FL 32837-8320 | 2020-07-14 |
| 1235757899 | Miami Headache Center, Pllc | Psychiatry & Neurology | 5415 Collins Ave Apt Phe, Miami Beach, FL 33140-2575 | 2020-07-10 |
| 1982220307 | Thornley Health, LLC | Psychiatry & Neurology | 4014 Sawyer Rd, Sarasota, FL 34233 | 2020-06-22 |
| 1104458462 | Neuro Synchrony LLC | Psychiatry & Neurology | 1745 E Hwy 50 Ste B1, Clermont, FL 34711-5190 | 2020-02-05 |
| 1568008373 | Tallahassee Memorial Healthcare Inc | Psychiatry & Neurology | 7514 Park Springs Cir, Orlando, FL 32835-2619 | 2019-11-27 |
| 1104387935 | Remyelix Neurology & Multiple Sclerosis Institute, Pllc | Psychiatry & Neurology | 4907 N Florida Ave, Tampa, FL 33603-2119 | 2019-03-26 |
| 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 |
| 1326511007 | Parkinsons & Memory Center Pa | Psychiatry & Neurology | 919 N Osprey Ave # B, Sarasota, FL 34236-4143 | 2019-01-06 |
| Find all providers with the same taxonomy | ||||
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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.