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ADVANCE NEUROPATHY INSTITUTE LLC
NPI 1063296929
Internal Medicine in Winter Park, FL

Active since August 22, 2023
3027 ALOMA AVE, WINTER PARK, FL 32792(406) 813-4784 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 20, 2023, Aug 22, 2023 (2 updates tracked since 2023).

About Advance Neuropathy Institute Llc NPPES

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

ADVANCE NEUROPATHY INSTITUTE LLC (NPI 1063296929) is a healthcare organization registered as an internal medicine in Winter Park, Florida and active in the NPI registry since August 2023. The organization maintains a secondary practice location in Lake Mary and lists Pamela Wagener, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1063296929
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameADVANCE NEUROPATHY INSTITUTE LLC
Location Address3027 ALOMA AVEWinter Park, FL 32792-3702
Mailing Address10450 Turkey Lake Rd Unit 691232Orlando, FL 32869-7559 · (407) 624-2844
Phone(406) 813-4784
Organization SubpartNo
Authorized OfficialPamela WagenerPractice Administrator · (407) 624-2844
Enumeration DateAugust 22, 2023
Last NPPES UpdateNovember 20, 20232 updates tracked since enumeration
NPPES CertifiedNovember 20, 2023
✔ NPI 1063296929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3027 ALOMA AVE, Winter Park, FL 32792
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Secondary Practice Location 1

Location 13300 W Lake Mary Blvd Ste 230Lake Mary, FL 32746-3499 · Phone (406) 813-4784

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advance Neuropathy Institute Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Advance Neuropathy Institute LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Melba Mae Eda, APRN
Nurse Practitioner
NPI 1992356059
7620 LAKE UNDERHILL RD
Orlando, FL 32822
(321) 235-0692
✔ PECOS✔ Accepts Medicare4.8 mi
Anabelle Tan, APRN
Nurse Practitioner
NPI 1427716729
2881 DELANEY AVE
Orlando, FL 32806
(000) 000-0000
✔ PECOS✔ Accepts Medicare7.5 mi
Shaik Ejazuddin, MD
Internal Medicine
NPI 1073501185
1741 DAVID WALKER DR
Tavares, FL 32778
(352) 742-8836
✔ PECOS✔ Accepts Medicare28 mi
Damaris Alicano, APRN
Nurse Practitioner
NPI 1972242691
589 CARRINGTON DR
Weston, FL 33326
(954) 336-7510
✔ PECOS✔ Accepts Medicare179 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Advance Neuropathy Institute LLC's NPI number?

The NPI number for Advance Neuropathy Institute LLC is 1063296929. It was assigned to this organization in the NPPES registry on August 22, 2023.

Where is Advance Neuropathy Institute LLC located?

Advance Neuropathy Institute LLC is located at 3027 Aloma Ave, Winter Park, FL 32792. The listed phone number is (406) 813-4784.

What is Advance Neuropathy Institute LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Advance Neuropathy Institute LLC enrolled in Medicare?

Yes. Advance Neuropathy Institute LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advance Neuropathy Institute LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Advance Neuropathy Institute LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Internal Medicine (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advance Neuropathy Institute LLC was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.