FLORIDA INSTITUTE OF NEUROLOGY
NPI 1710266895
Psychiatry & Neurology - Neurology in Saint Cloud, FL

Q: What is Lake City Institute Of Neurology PA's NPI number?

The NPI number for Lake City Institute Of Neurology PA is 1710266895. It was assigned to this organization in the NPPES registry on August 8, 2011. The provider is doing business as Florida Institute Of Neurology.

Q: What is Lake City Institute Of Neurology PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since August 08, 2011

4745 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769(407) 818-1664(407) 818-1654 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Florida Institute Of Neurology NPPES

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

FLORIDA INSTITUTE OF NEUROLOGY (NPI 1710266895) is a healthcare organization registered as a neurology in Saint Cloud, Florida and active in the NPI registry since August 2011. The organization lists Rekha Nidadavolu, Admin, as its authorized official.

NPPES Registry Identity

NPI1710266895

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameLAKE CITY INSTITUTE OF NEUROLOGY PA

Location Address4745 OLD CANOE CREEK RDSaint Cloud, FL 34769-1400

Mailing Address4745 Old Canoe Creek RdSaint Cloud, FL 34769-1400 · (407) 818-1664 · Fax (407) 818-1654

Phone(407) 818-1664

Fax(407) 818-1654

Organization SubpartNo

Authorized OfficialRekha NidadavoluAdmin · (305) 905-9316

Enumeration DateAugust 8, 2011

Last NPPES UpdateJuly 30, 2024

NPPES CertifiedJuly 30, 2024

✔ NPI 1710266895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in FL · ME109423

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

4745 OLD CANOE CREEK RD, Saint Cloud, FL 34769

Open in Google Maps ↗

Other Names 1

Doing Business AsFlorida Institute Of Neurology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Florida Institute Of Neurology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Florida Institute Of Neurology, which bills Medicare for the services this clinician delivers.

Clinician (1)

Naga Lakshmana Nidadavolu, M.D

Neurology

NPI 1386835601

4745 OLD CANOE CREEK RD
Saint Cloud, FL 34769

(407) 818-1664

✔ PECOS✔ Accepts MedicareSame address

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 Lake City Institute Of Neurology PA's NPI number?

The NPI number for Lake City Institute Of Neurology PA is 1710266895. It was assigned to this organization in the NPPES registry on August 8, 2011. The provider is doing business as Florida Institute Of Neurology.

Where is Lake City Institute Of Neurology PA located?

Lake City Institute Of Neurology PA is located at 4745 Old Canoe Creek Rd, Saint Cloud, FL 34769. The listed phone number is (407) 818-1664.

What is Lake City Institute Of Neurology PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Lake City Institute Of Neurology PA enrolled in Medicare?

Yes. Lake City Institute Of Neurology PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake City Institute Of Neurology PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Lake City Institute Of Neurology PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lake City Institute Of Neurology PA was last updated on July 30, 2024. 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.