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Jacksonville Neurological Clinic, P.a.
Specialist in Orange Park, Florida
NPI 1710934930

Jacksonville Neurological Clinic, P.a. is a Specialist based in Jacksonville, FL. Jacksonville Neurological Clinic, P.a. practices in Orange Park, FL. The NPI Number for Jacksonville Neurological Clinic, P.a. is 1710934930 and holds a License No. (Florida).

The current practice location address for Jacksonville Neurological Clinic, P.a. is 1895 Kingsley Ave Ste 805, Orange Park, FL and can be reached out via phone at 904-276-2220 and via fax at 904-276-2578.

Location: 1895 Kingsley Ave Ste 805, Orange Park, FL, 32245-7809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710934930
Provider Name
Jacksonville Neurological Clinic, P.a.
Credential
Provider Entity Type
Organization
Address
1895 Kingsley Ave Ste 805, Orange Park, FL, 32245-7809
Phone Number
904-276-2220
Fax Number
904-276-2578
Provider Enumeration Date
05/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CF1455 01 FL RAILROAD MEDICARE
00506 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
1895 Kingsley Ave Ste 805
City
Orange Park
State
Florida
Zip
32073-4410
Phone Number
904-276-2220
Fax Number
904-276-2578
person
Provider Business Mailing Address Details
Address
1895 Kingsley Ave Ste 805
City
Orange Park
State
Florida
Zip
32073-4410
Phone Number
904-276-2220
Fax Number
904-276-2578
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
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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