CHILD NEUROLOGY CENTER OF NORTHWEST FLORIDA PA
NPI 1053392233
General Practice in Gulf Breeze, FL

Active since November 07, 2005
400 GULF BREEZE PKWY, SUITE 300, GULF BREEZE, FL 32561(850) 932-5055(850) 932-1401 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Child Neurology Center Of Northwest Florida Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHILD NEUROLOGY CENTER OF NORTHWEST FLORIDA PA (NPI 1053392233) is a healthcare organization registered as a general practice in Gulf Breeze, Florida and active in the NPI registry since November 2005. The organization maintains a secondary practice location in Miramar Beach and lists James Ben Renfroe, Owner, as its authorized official.

NPPES Registry Identity

NPI1053392233
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCHILD NEUROLOGY CENTER OF NORTHWEST FLORIDA PA
Location Address400 GULF BREEZE PKWY, SUITE 300Gulf Breeze, FL 32561-4495
Mailing AddressPo Box 280Gulf Breeze, FL 32562-0280 · (850) 932-5055 · Fax (850) 932-1401
Fax(850) 932-1401
Organization SubpartNo
Authorized OfficialJames Ben RenfroeOwner · (850) 932-5055
Enumeration DateNovember 7, 2005
Last NPPES UpdateJanuary 20, 2025
NPPES CertifiedJanuary 20, 2025
NPI 1053392233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
400 GULF BREEZE PKWY, Gulf Breeze, FL 32561

Secondary Practice Location 1

Location 112815 US Highway 98 W Ste 116Miramar Beach, FL 32550-3245 · Phone (850) 932-5055 · Fax (850) 932-1404

Other Identifiers 2

Medicaid529918930AL
Medicaid257889100FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
400 GULF BREEZE PKWY, SUITE 300
GULF BREEZE, FL 32561
Physician Assistant (Medical)
400 GULF BREEZE PKWY, SUITE 300
GULF BREEZE, FL 32561
Nurse Practitioner (Pediatrics)
400 GULF BREEZE PKWY, SUITE 300
GULF BREEZE, FL 32561
Nurse Practitioner (Pediatrics)
400 GULF BREEZE PKWY, SUITE 204
GULF BREEZE, FL 32561
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
400 GULF BREEZE PKWY, SUITE 202
GULF BREEZE, FL 32561

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Child Neurology Center Of Northwest Florida PA's NPI number?

The NPI number for Child Neurology Center Of Northwest Florida PA is 1053392233. It was assigned to this organization in the NPPES registry on November 7, 2005.

Where is Child Neurology Center Of Northwest Florida PA located?

Child Neurology Center Of Northwest Florida PA is located at 400 Gulf Breeze Pkwy Suite 300, Gulf Breeze, FL 32561. The listed phone number is (850) 932-5055.

What is Child Neurology Center Of Northwest Florida PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

What insurance does Child Neurology Center Of Northwest Florida PA accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Child Neurology Center Of Northwest Florida PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Child Neurology Center Of Northwest Florida PA was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.