Child Neurology Center of Northwest Florida PA
NPI 1053392233ActiveOrganization· General Practice· Gulf Breeze, FL
General Practice in Gulf Breeze, Florida, registered in NPPES in November 2005. The authorized official on file is James Ben Renfroe, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053392233 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 7, 2005 |
| Last updated in NPPES | Jan 20, 2025 |
| Certified by provider | Jan 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | 2084N0402X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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