Healthcare Provider Details

I. General information

NPI: 1780639369
Provider Name (Legal Business Name): NEUROLOGY CARE CENTER PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2828 CASA ALOMA WAY SUITE 100
WINTER PARK FL
32792-2223
US

IV. Provider business mailing address

PO BOX 5741
WINTER PARK FL
32793-5741
US

V. Phone/Fax

Practice location:
  • Phone: 407-628-2273
  • Fax: 407-628-1025
Mailing address:
  • Phone: 407-628-2273
  • Fax: 407-628-1025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT ADAM CAMBRIDGE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 407-628-2273