PEDIATRIC NEURODEVELOPMENTAL ASSOCIATES NPI 1629702717

NPI Information

  • NPI: 1629702717
  • Provider Name: PEDIATRIC NEURODEVELOPMENTAL ASSOCIATES
  • Classification: Psychiatry & Neurology - 2084N0402X
  • Specialization: Neurology with Special Qualifications in Child Neurology
  • Entity Type: Organization
  • Address: 3282 TOSCANA DR
    SAINT CLOUD, FL
    ZIP 34772
  • Phone: (813) 450-6128

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NPI Details

PEDIATRIC NEURODEVELOPMENTAL ASSOCIATES is a neurology with special qualifications in child neurology psychiatry neurology in Saint Cloud, 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 NEURODEVELOPMENTAL ASSOCIATES NPI is 1629702717. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3282 TOSCANA DR
SAINT CLOUD, FL
ZIP 34772-710
Phone: (813) 450-6128

The provider's authorized official is Avi Elizabeth Domnitz-gebet .
The authorized official title is Physician and has the following contact phone number (813) 450-6128.

The enumeration date for this NPI number is 7/13/2022 and was last updated on 7/25/2022.

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

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

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