Jacksonville Neurological Clinic, P.A.

LBN: Jacksonville Neurological Clinic, P.A.
Jacksonville Neurological Clinic, P.A. is an health care organization with primary practice located at 1895 Kingsley Ave Ste 805 , Orange Park FL 32073-4410. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Jacksonville Neurological Clinic, P.A. can be contacted via phone (904) 276-2220, or through Dewey, Dennis via phone (904) 276-2220.

Contact Information

Primary practice address
1895 Kingsley Ave Ste 805 Orange Park FL 32073-4410
Phone: (904) 276-2220
Fax: (904) 276-2578
Website:
Map and Directions
Authorized official contact:
Name: Dewey, Dennis Doctor of Medicine (MD)
Phone: (904) 276-2220

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1710934930
LBN Legal business name Jacksonville Neurological Clinic, P.A.
DBA Doing business as
Authorized official Dewey, Dennis Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated Nov 20th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710934930 NPPES
Florida Other CF1455 RAILROAD MEDICARE
Florida Other 00506 RAILROAD MEDICARE

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