M.W. Kilgore, Ii, M.D., P.A.

LBN: M.W. Kilgore, Ii, M.D., P.A.
M.W. Kilgore, Ii, M.D., P.A. is an health care organization with primary practice located at 11363 San Jose Blvd Suite 102, Jacksonville FL 32223-7957. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. M.W. Kilgore, Ii, M.D., P.A. can be contacted via phone (904) 396-2400, or through Kilgore, Manley W via phone (904) 396-2400.

Contact Information

Primary practice address
11363 San Jose Blvd Suite 102 Jacksonville FL 32223-7957
Phone: (904) 396-2400
Fax: (904) 396-3750
Website:
Map and Directions
Authorized official contact:
Name: Kilgore, Manley W
Phone: (904) 396-2400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME17133 Florida

Profile Details

NPI number 1821284589
LBN Legal business name M.W. Kilgore, Ii, M.D., P.A.
DBA Doing business as
Authorized official Kilgore, Manley W
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2007
Last updated Nov 4th, 2009 - about 15 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 1821284589 NPPES
Florida MEDICAID 059854200

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