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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: July 19, 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
Phone(850) 932-5055
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

Also ListedPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyTaxonomy 2084N0402X
400 GULF BREEZE PKWY, Gulf Breeze, FL 32561
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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Reviews for CHILD NEUROLOGY CENTER OF NORTHWEST FLORIDA PA

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

GENEI S BOUGHER ARNP
Nurse Practitioner (Pediatrics)
400 GULF BREEZE PKWY, SUITE 300
GULF BREEZE, FL 32561
Santa Rosa County (850) 932-5055
SONIA A SMITH ARNP
Nurse Practitioner (Pediatrics)
400 GULF BREEZE PKWY, SUITE 300
GULF BREEZE, FL 32561
Santa Rosa County (850) 932-5055
CHILD NEUROLOGY CENTER OF NW FL PA
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
400 GULF BREEZE PKWY, SUITE 202
GULF BREEZE, FL 32561
Santa Rosa County (850) 932-5055
EMERALD COAST PEDIATRIC SLEEP CONSULTANTS, LLC
Nurse Practitioner (Pediatrics)
400 GULF BREEZE PKWY, SUITE 204
GULF BREEZE, FL 32561
Santa Rosa County (850) 932-3830
MAILANDE DEDEAUX PA
Physician Assistant (Medical)
400 GULF BREEZE PKWY, SUITE 300
GULF BREEZE, FL 32561
Santa Rosa County (850) 932-5055

Frequently Asked Questions

What is CHILD NEUROLOGY CENTER OF NORTHWEST FLORIDA PA's NPI number?

The NPI number assigned to this healthcare provider is 1053392233, enumerated as an "organization" on November 07, 2005.

Where is the provider located?

The provider is located at 400 GULF BREEZE PKWY SUITE 300 GULF BREEZE, FL 32561 and the phone number is (850) 932-5055.

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.

What insurance does CHILD NEUROLOGY CENTER OF NORTHWEST FLORIDA PA accept?

The provider might be accepting Accepts: Ambetter Health, Ambetter of Alabama, Florida Blue. Please consult your insurance carrier or call the provider to verify.