Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

St Mary's Neurology Center, Inc

Organization Neurology Physician · NPI 1477641959

St Mary's Neurology Center, Inc provides Neurology Physician services in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15267 Amberly Dr
Tampa, FL 33647-2155 Not confirmed with CMS for 11 years — call before visiting
Phone: (813) 972-5414
Fax: (813) 972-5413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence ME92765 (FL)

Record details

NPI number1477641959
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reena Kavilaveettil — President · (813) 972-5414
NPI enumeratedOctober 10, 2006
Last updated in NPPESJuly 2, 2015
Mailing address15267 Amberly Dr, Tampa, FL 33647-2155

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