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

Neurology Headache Associates, LLC

Organization Neurology Physician · NPI 1104538255

Neurology Headache Associates, LLC is a Neurology Physician in Lakeland, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6500 N Socrum Loop Rd Ste 200
Lakeland, FL 33809-4179
Phone: (863) 853-3331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X

Record details

NPI number1104538255
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Stakebake — Owner · (801) 603-8002
NPI enumeratedDecember 20, 2022
Last updated in NPPESSeptember 6, 2023
Certification dateNovember 9, 2022
Mailing address6500 N Socrum Loop Rd Ste 200, Lakeland, FL 33809-4179

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