CAPERNAUM MEDICAL CENTER FOR KIDS PLLC – NPI #1881146413
Psychiatry & Neurology

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).

CAPERNAUM MEDICAL CENTER FOR KIDS PLLC is a psychiatry & neurologist located in LAKELAND, FL. NPPES has assigned the NPI number 1881146413 to CAPERNAUM MEDICAL CENTER FOR KIDS PLLC on October 31, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 4 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 2084N0600X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Clinical Neurophysiology

The NPI profile was last updated on Aug 15, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAPERNAUM MEDICAL CENTER FOR KIDS PLLC below.

NPI Profile for
CAPERNAUM MEDICAL CENTER FOR KIDS PLLC

NPI Number
1881146413
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CAPERNAUM MEDICAL CENTER FOR KIDS PLLC
Primary location
2024 EDGEWOOD DR S
LAKELAND, FL 33803
Phone: (863) 232-4323 Fax: (863) 337-5728
4 Other location(s):
3040 Park Pond Way
Kissimmee, FL 34741
Phone: (863) 232-4323
Fax: (863) 337-5728
5129 S Lakeland Dr
Suite 1 & 2
Lakeland, FL 33813-2598
Phone: (863) 232-4323
Fax: (863) 337-5728
250 Westshore Plz
Tampa, FL 33609-1811
Phone: (863) 232-4323
Fax: (863) 337-5728
4710 N Habana Ave
Tampa, FL 33614-7161
Phone: (863) 232-4323
Fax: (863) 337-5728
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ERIC VERNIER
PRESIDENT
Phone: (863) 232-4323
Updated
Certification Date
Aug 15, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0600X
- Psychiatry & Neurology / Clinical Neurophysiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.