ATIT NEUROLOGY PA NPI 1619123312

Specialist in Holiday, FL

NPI 1619123312 Organization Specialist

About ATIT NEUROLOGY PA

Atit Neurology Pa is a provider established in Holiday, Florida specializing in specialist. The NPI number of Atit Neurology Pa is 1619123312 and was assigned on August 2008. The practitioner's primary taxonomy code is 174400000X with license number ME0071634 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. Atit Neurology Pa operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ms. Brenda Evangelista Cpam,ma (Administrator)

NPI

1619123312

Provider NameATIT NEUROLOGY PA
Provider Location Address1011 US HIGHWAY 19 HOLIDAY, FL 34691
Provider Mailing Address1011 US HIGHWAY 19 HOLIDAY, FL 34691
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date08-13-2008
Last Update Date09-22-2009


Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.ME0071634
License StateFL
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

ATIT NEUROLOGY PA
1011 US HIGHWAY 19
HOLIDAY, FL
ZIP 34691
Phone: (727) 937-4600
Fax: (727) 937-3312

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Mailing Address

ATIT NEUROLOGY PA
1011 US HIGHWAY 19
HOLIDAY, FL
ZIP 34691
Phone: (727) 937-4600
Fax: (727) 937-3312



Authorized Official

Authorized Official NameMS. BRENDA EVANGELISTA CPAM,MA
Authorized Official TitleADMINISTRATOR
Authorized Official Phone(727) 937-4600

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
G86849MEDICARE UPIN (02)FL
AM861MEDICARE PIN (08)FL
271853700MEDICAID (05)FL

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.