OrganizationActive
Pediatric Neurodevelopmental Associates
NPI 1629702717 · Neurology with Special Qualifications in Child Neurology Physician · Saint Cloud, FL
Provider details
- NPI number
- 1629702717
- Entity type
- Organization
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Avi Domnitz-Gebet, Physician(813) 450-6128
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3282 Toscana Dr
Saint Cloud, FL 34772-6710
Phone: (813) 450-6128
Street-level locationGet directions
Mailing address
3282 Toscana Dr
Saint Cloud, FL 34772-6710
Registry dates
- Enumerated
- 2022-07-13
- Last updated
- 2022-07-25
- Certified
- 2022-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.