PEDIATRIC NEUROLOGY ASSOCIATES NPI 1275568859

NPI Information

  • NPI: 1275568859
  • Provider Name: PEDIATRIC NEUROLOGY ASSOCIATES
  • Classification: Psychiatry & Neurology - 2084N0402X
  • Specialization: Neurology with Special Qualifications in Child Neurology
  • Entity Type: Organization
  • CLIA Number: 10D2325706
  • Address: 625 6TH AVE S
    SUITE 405
    ST PETERSBURG, FL
    ZIP 33701
  • Phone: (727) 498-8994

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NPI Details

PEDIATRIC NEUROLOGY ASSOCIATES is a neurology with special qualifications in child neurology psychiatry neurology in St Petersburg, FL. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. PEDIATRIC NEUROLOGY ASSOCIATES NPI is 1275568859. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

625 6TH AVE S
SUITE 405
ST PETERSBURG, FL
ZIP 33701-662
Phone: (727) 498-8994
Fax: (727) 498-8982

The provider's authorized official is Mimi Casadonte .
The authorized official title is Office Administrator and has the following contact phone number (727) 498-8994.

The CLIA number assigned to this NPI record is 10D2325706 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 8/31/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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