Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake City Institute of Neurology PA

Organization Neuromuscular Medicine (Psychiatry & Neurology) Physician · NPI 1578922613

Lake City Institute of Neurology PA is a Neuromuscular Medicine (Psychiatry & Neurology) Physician in Saint Cloud, Florida. Works from 4 locations. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4745 Old Canoe Creek Rd
Saint Cloud, FL 34769-1400
Phone: (407) 818-1664
Fax: (407) 818-1654
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1060 Cypress Pkwy Unit 102, Kissimmee, FL 34759-3328 — (407) 818-1664
  • 16123 W Colonial Dr, Oakland, FL 34787-9471 — (407) 818-1664
  • 9430 Turkey Lake Rd Ste 106, Orlando, FL 32819-8015 — (407) 818-1664

Specialties & licences

Neuromuscular Medicine (Psychiatry & Neurology) Physician (primary) Taxonomy 2084N0008X

Record details

NPI number1578922613
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rekha Nidadavolu — Manager · (305) 905-9316
Other names Florida Institute Of Neurology; Florida Institute Of Neurology
NPI enumeratedFebruary 17, 2016
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025
Mailing address4745 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400

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