Southeastern Neuroscience Institute Pa in Jacksonville - Specialist
Southeastern Neuroscience Institute Pa - NPI 1700099017
Southeastern Neuroscience Institute Pa is a Specialist in Jacksonville, Florida. Southeastern Neuroscience Institute Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Southeastern Neuroscience Institute Pa is 1700099017. The last update date is 2008-05-20.
Southeastern Neuroscience Institute Pa's current location address is 3728 Phillips Hwy, Jacksonville, Florida. You can contact this provider via phone number 9043460707 and fax number 9043964300. The mailing address for Southeastern Neuroscience Institute Pa is 3728 Phillips Hwy, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeastern Neuroscience Institute Pa |
|---|---|
| Address | 3728 Phillips Hwy, Jacksonville, Florida |
| Phone Number | 9043460707 |
| Fax Number | 9043964300 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO, NEURO |
|---|---|
| Authorized Official Name | Green Jacob |
| Credentials | MD, PH.D |
| Telephone Number | 9043460707 |
NPI Number Detail
| NPI Number | 1700099017 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2008-05-20 |
Provider Mailing Address Detail
| Address | 3728 Phillips Hwy |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322079300 |
| Phone Number | 9043460707 |
| Fax Number | 9043964300 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME 59265 |
|
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 |
|---|---|---|---|
| 59852600 | FL | -- | |
| 380447000 | FL | -- | |
| 266403800 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Southeastern Neuroscience Institute Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Southeastern Neuroscience Institute Pa has been assigned the NPI (National Provider Identifier) 1700099017. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Southeastern Neuroscience Institute Pa's facilities are geographically located?
The facilities of Southeastern Neuroscience Institute Pa are physically situated at the following location: 3728 Phillips Hwy, Jacksonville, FL, 322079300.
What is Southeastern Neuroscience Institute Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Southeastern Neuroscience Institute Pa is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date was the 1700099017 assigned to Southeastern Neuroscience Institute Pa?
The Southeastern Neuroscience Institute Pa was issued its 1700099017 on 2007-05-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Southeastern Neuroscience Institute Pa's information last updated?
The Southeastern Neuroscience Institute Pa's information was last updated on 2008-05-20.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN