David Roger Chabolla in Jacksonville - Neurology
David Roger Chabolla - NPI 1245229319
David Roger Chabolla is a Neurology in Jacksonville, Florida. David Roger Chabolla practices all healthcare services and medical treatments related to Neurology. The NPI Number for David Roger Chabolla is 1245229319. The last update date is 2019-07-29.
David Roger Chabolla's current location address is 4205 Belfort Rd Ste 1100, Jacksonville, Florida. You can contact this provider via phone number 9044506300 and fax number 9042815966. The mailing address for David Roger Chabolla is 4205 Belfort Rd Ste 1100, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Roger Chabolla |
|---|---|
| Address | 4205 Belfort Rd Ste 1100, Jacksonville, Florida |
| Phone Number | 9044506300 |
| Fax Number | 9042815966 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1245229319 |
|---|---|
| Provider Enumeration Date | 2005-10-20 |
| Last Updated Date | 2019-07-29 |
Provider Mailing Address Detail
| Address | 4205 Belfort Rd Ste 1100 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322165876 |
| Phone Number | 9044506300 |
| Fax Number | 9042815966 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | ME68656 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 130012335 | FL | RAILROAD MEDICARE | |
| 27473 | FL | BLUECROSS/BLUESHIELD | |
| 268609100 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to David Roger Chabolla by the Centers for Medicare & Medicaid Services?
The David Roger Chabolla has been assigned the NPI (National Provider Identifier) 1245229319. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of David Roger Chabolla?
The David Roger Chabolla is physically situated at 4205 Belfort Rd Ste 1100, in the city of Jacksonville, state of FL, with the postal code 322165876.
What is David Roger Chabolla's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for David Roger Chabolla is Neurology, and the taxonomy code that classifies this field of practice is 2084N0400X.
On what date did David Roger Chabolla receive its 1245229319 assignment from the Centers for Medicare & Medicaid Services?
The David Roger Chabolla was assigned its 1245229319 on 2005-10-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding David Roger Chabolla, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to David Roger Chabolla, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-07-29.