PEDIATRIC NEUROLOGY PA is a neurodevelopmental disabilities pediatrics in Orlando, FL. The provider is a pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. PEDIATRIC NEUROLOGY PA NPI is 1417129602. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
7485 SANDLAKE COMMONS BLVD
ORLANDO, FL
ZIP 32819-034
Phone: (407) 293-1122
Fax: (407) 253-2170
The provider's authorized official is Emmanuel Vega .
The authorized official title is Administrator and has the following contact phone number (407) 293-1122.
The CLIA number assigned to this NPI record is 10D1093532 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/27/2008 and was last updated on 8/5/2020.