Provider Demographics
NPI:1003095530
Name:CENTRAL FLORIDA NEUROLOGY
Entity Type:Organization
Organization Name:CENTRAL FLORIDA NEUROLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NAJEEB
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZUBERI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-935-1008
Mailing Address - Street 1:506 W CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4114
Mailing Address - Country:US
Mailing Address - Phone:407-935-1008
Mailing Address - Fax:407-935-9750
Practice Address - Street 1:506 W CHERRY ST
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4114
Practice Address - Country:US
Practice Address - Phone:407-935-1008
Practice Address - Fax:407-935-9750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 70680174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK9400Medicare PIN