Provider Demographics
NPI:1487407037
Name:ORLANDO NEUROLOGY LLC
Entity type:Organization
Organization Name:ORLANDO NEUROLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:LATA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOSHNIWAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-970-3069
Mailing Address - Street 1:1226 LAKE WHITNEY DR
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-6070
Mailing Address - Country:US
Mailing Address - Phone:407-970-3069
Mailing Address - Fax:407-258-8279
Practice Address - Street 1:ADVENT HEALTH ORLANDO HOSPITAL
Practice Address - Street 2:601 E ROLLINS ST
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803
Practice Address - Country:US
Practice Address - Phone:407-303-5600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty