Lake City Institute Of Neurology Pa
Neurology - Neuromuscular Medicine Clinic
4745 Old Canoe Creek Rd, Saint Cloud
Florida, 34769-1400
407-818-1664 407-818-1654
Maps & DirectionsLake City Institute Of Neurology Pa is a Neurology - Neuromuscular Medicine Clinic in Saint Cloud, Florida. It is located at 4745 Old Canoe Creek Rd, Saint Cloud, FL and its contact number is 407-818-1664. The authorized person for Lake City Institute Of Neurology Pa is Mrs. Rekha Nidadavolu
who is Manager of the clinic and his/her contact number is 305-905-9316. Other organizations associated with this clinic are Lake City Institute Of Neurology Pa, Lake City Institute Of Neurology Pa,
Lake City Institute Of Neurology Pa Clinic has neurologists or child neurologists who are subspecialized in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome).
Complete Clinic Profile:
Lake City Institute Of Neurology Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Lake City Institute Of Neurology Pa |
| Specialization: | Neuromuscular Medicine |
| Clinic Address: | 4745 Old Canoe Creek Rd, Saint Cloud,
Florida, 34769-1400 |
| Phone: | 407-818-1664 |
| Fax: | 407-818-1654 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Rekha Nidadavolu |
| Position: | Manager |
| Contact Number: | 305-905-9316 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Lake City Institute Of Neurology Pa clinic are as mentioned below.
| NPI Number: | 1578922613 |
| NPI Enumeration Date: | 17 Feb, 2016 |
| NPI Last Update On: | 09 Jan, 2025 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Lake City Institute Of Neurology Pa | Neuromuscular Medicine | 1578922613 |
| Lake City Institute Of Neurology Pa | Neurology | 1710266895 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lake City Institute Of Neurology Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Neuromuscular Medicine | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| DS6851 | Other | Florida | Railroad Medicare |
| 14H5X | Other | Florida | Bcbs |
| 003957500 | Medicaid | Florida | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lake City Institute Of Neurology Pa
4745 Old Canoe Creek Rd,
Saint Cloud, Florida |
| Zip: | 34769-1400 |
| Phone Number: | 407-818-1664 |
| Fax Number: | 407-818-1654 |
Patients can reach Lake City Institute Of Neurology Pa at
4745 Old Canoe Creek Rd, Saint Cloud, Florida or can
call to book an appointment on 407-818-1664.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.