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Southeastern Neuroscience Institute Pa
Specialist in Jacksonville, Florida
NPI 1700099017

Southeastern Neuroscience Institute Pa is a Specialist based in Jacksonville, FL. Southeastern Neuroscience Institute Pa practices in Jacksonville, FL. The NPI Number for Southeastern Neuroscience Institute Pa is 1700099017 and holds a License No. ME0013636 (Florida).

The current practice location address for Southeastern Neuroscience Institute Pa is 3728 Phillips Hwy, Jacksonville, FL and can be reached out via phone at 904-346-0707 and via fax at 904-396-4300.

Location: 3728 Phillips Hwy, Jacksonville, FL, 32207-9300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700099017
Provider Name
Southeastern Neuroscience Institute Pa
Credential
Provider Entity Type
Organization
Address
3728 Phillips Hwy, Jacksonville, FL, 32207-9300
Phone Number
904-346-0707
Fax Number
904-396-4300
Provider Enumeration Date
05/07/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
059852600 05 FL
380447000 05 FL
266403800 05 FL
institution
Provider Business Practice Location Address Details
Address
3728 Phillips Hwy
City
Jacksonville
State
Florida
Zip
32207-9300
Phone Number
904-346-0707
Fax Number
904-396-4300
person
Provider Business Mailing Address Details
Address
3728 Phillips Hwy
City
Jacksonville
State
Florida
Zip
32207-9300
Phone Number
904-346-0707
Fax Number
904-396-4300
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME0013636 (Florida)
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.
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