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 Neurology Physician · NPI 1710266895

Lake City Institute of Neurology PA is a Neurology Physician in Saint Cloud, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
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.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence ME109423 (FL)

Record details

NPI number1710266895
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rekha Nidadavolu — Admin · (305) 905-9316
Other names Florida Institute Of Neurology
NPI enumeratedAugust 8, 2011
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024
Mailing address4745 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400

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