KIDS NEURO CARE LLC


Address: 10931 Dylan Loren Circle, Orlando, FL 32825
Phone: 4072184444

KIDS NEURO CARE LLC (NPI# 1912188970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912188970
Entity Type Organization
Organization Name KIDS NEURO CARE LLC
Practice Address 10931 Dylan Loren Circle
Orlando
FL 32825
Mailing Address 10931 Dylan Loren Cir
Orlando
FL 32825-4449
Practice Telephone 4072184444
Practice Fax Number 3212841514
Mailing Telephone 4072184444
Mailing Fax Number 3212841514
Enumeration Date 2007-11-19
Last Update Date 2015-05-15
Authorized Official Name MR. ERIC MARCUS (OFFICE MANAGER)
Authorized Official Telephone 4072184444
Authorized Official Credential M.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center ME94141 FL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 013200100 05

Office Location

Street Address 10931 DYLAN LOREN CIRCLE
City ORLANDO
State FL
Zip Code 32825

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1740795053 Anna Louise Morris Specialist/Technologist 10719 Fairhaven Way, Orlando, FL 32825 2017-12-08
1568973352 Darrenn G Cadet Behavior Technician 11121 Tortuga Bnd, Orlando, FL 32825 2017-10-19
1265942072 Raquel B Saliba Physical Therapist 250 South Chickasaw Trail, Orlando, FL 32825 2017-10-06
1528585890 Vreny Tatyana Gonzalez-casas Behavior Technician 3206 Mattson Dr, Orlando, FL 32825 2017-08-27
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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1841842721 Cigna Onsite Health LLC Clinic/Center 2500 W Colonial Dr, Orlando, FL 32804-8005 2019-07-11
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Competitor

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City ORLANDO
Zip Code 32825

Improve Information

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Dataset Information

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.

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