NEUROLOGY & NEURODIAGNOSTICS LLC
NPI 1760882617
Psychiatry & Neurology - Neurology in Lake Mary, FL

Active since August 28, 2014
1355 S INTERNATIONAL PKWY, SUITE 2451, LAKE MARY, FL 32746(407) 250-3290(407) 250-2922 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Neurology & Neurodiagnostics Llc NPPES

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

NEUROLOGY & NEURODIAGNOSTICS LLC (NPI 1760882617) is a healthcare organization registered as a neurology in Lake Mary, Florida and active in the NPI registry since August 2014. The organization lists Maria Desiree Diaz Calderon, Administrator, as its authorized official.

NPPES Registry Identity

NPI1760882617
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameNEUROLOGY & NEURODIAGNOSTICS LLC
Location Address1355 S INTERNATIONAL PKWY, SUITE 2451Lake Mary, FL 32746-1694
Mailing AddressPo Box 951316Lake Mary, FL 32795-1316
Fax(407) 250-2922
Organization SubpartNo
Authorized OfficialMaria Desiree Diaz CalderonAdministrator · (407) 250-3290
Enumeration DateAugust 28, 2014
Last NPPES UpdateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
✔ NPI 1760882617 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 · ME109269
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.
1355 S INTERNATIONAL PKWY, Lake Mary, FL 32746

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)

Neurology & Neurodiagnostics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Neurology & Neurodiagnostics LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Neurology
NPI 1104909647
1355 S INTERNATIONAL PKWY SUITE 2451
Lake Mary, FL 32746
(407) 250-3290
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1609465459
1355 S INTERNATIONAL PKWY STE 2451
Lake Mary, FL 32746
(407) 250-3290
✔ PECOSSame 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 Neurology & Neurodiagnostics LLC's NPI number?

The NPI number for Neurology & Neurodiagnostics LLC is 1760882617. It was assigned to this organization in the NPPES registry on August 28, 2014.

Where is Neurology & Neurodiagnostics LLC located?

Neurology & Neurodiagnostics LLC is located at 1355 S International Pkwy Suite 2451, Lake Mary, FL 32746. The listed phone number is (407) 250-3290.

What is Neurology & Neurodiagnostics LLC's specialty?

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

Is Neurology & Neurodiagnostics LLC enrolled in Medicare?

Yes. Neurology & Neurodiagnostics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Neurology & Neurodiagnostics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Neurology & Neurodiagnostics LLC, in Neurology and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Neurology & Neurodiagnostics LLC was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.