Jacksonville Neurological Clinic, P.A. in Jacksonville - Specialist
Jacksonville Neurological Clinic, P.A. - NPI 1710934930
Jacksonville Neurological Clinic, P.A. is a Specialist in Jacksonville, Florida. Jacksonville Neurological Clinic, P.A. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jacksonville Neurological Clinic, P.A. is 1710934930. The last update date is 2007-11-20.
Jacksonville Neurological Clinic, P.A.'s current location address is Po Box 17809, Jacksonville, Florida. You can contact this provider via phone number 9047230015 and fax number 9043380951. The mailing address for Jacksonville Neurological Clinic, P.A. is Po Box 17809, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jacksonville Neurological Clinic, P.A. |
|---|---|
| Address | Po Box 17809, Jacksonville, Florida |
| Phone Number | 9047230015 |
| Fax Number | 9043380951 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Dewey Dennis |
| Credentials | MD |
| Telephone Number | 9042762220 |
NPI Number Detail
| NPI Number | 1710934930 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2007-11-20 |
Provider Mailing Address Detail
| Address | Po Box 17809 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322457809 |
| Phone Number | 9047230015 |
| Fax Number | 9043380951 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CF1455 | FL | RAILROAD MEDICARE | |
| 506 | FL | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jacksonville Neurological Clinic, P.A. by the Centers for Medicare & Medicaid Services?
The Jacksonville Neurological Clinic, P.A. has been issued the NPI (National Provider Identifier) 1710934930 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jacksonville Neurological Clinic, P.A.?
The Jacksonville Neurological Clinic, P.A. is physically situated at Po Box 17809, in the city of Jacksonville, state of FL, with the postal code 322457809.
What is Jacksonville Neurological Clinic, P.A.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jacksonville Neurological Clinic, P.A. is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date was the 1710934930 assigned to Jacksonville Neurological Clinic, P.A.?
The Jacksonville Neurological Clinic, P.A. was issued its 1710934930 on 2006-05-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jacksonville Neurological Clinic, P.A. most recently updated or refreshed?
The details pertaining to the Jacksonville Neurological Clinic, P.A., including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-20.
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