Provider Demographics
NPI:1235421058
Name:NEUROPSYCHOLOGICAL ASSOCIATES OF CENTRAL FLORIDA, INC.
Entity Type:Organization
Organization Name:NEUROPSYCHOLOGICAL ASSOCIATES OF CENTRAL FLORIDA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:FALCONE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:407-740-0134
Mailing Address - Street 1:1177 LOUISIANA AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-2352
Mailing Address - Country:US
Mailing Address - Phone:407-740-0134
Mailing Address - Fax:407-740-8857
Practice Address - Street 1:1177 LOUISIANA AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2352
Practice Address - Country:US
Practice Address - Phone:407-740-0134
Practice Address - Fax:407-740-8857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-12
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0002181103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty