East Coast Injury Clinic | |
10550 Deerwood Park Blvd Ste 609a, Jacksonville, FL 32256-2811 | |
(904) 513-3954 | |
(904) 212-0223 |
Full Name | East Coast Injury Clinic |
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Type | Facility |
Speciality | Physical Medicine & Rehabilitation |
Location | 10550 Deerwood Park Blvd Ste 609a, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1124424643 | NPI | - | NPPES |
Provider Name | Gregory Mcnamara |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1720051832 PECOS PAC ID: 5496796799 Enrollment ID: I20080725000654 |
Provider Name | Vanessa J Wilczak |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1366775124 PECOS PAC ID: 1658414412 Enrollment ID: I20100203000041 |
Provider Name | Craig A Cherrin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194267625 PECOS PAC ID: 1557645405 Enrollment ID: I20170221002459 |
Provider Name | Harsh Dangaria |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1861789992 PECOS PAC ID: 3870712672 Enrollment ID: I20170620001739 |
Provider Name | Shannon J O Brien |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245614114 PECOS PAC ID: 6305147976 Enrollment ID: I20191111000363 |
Provider Name | Chelsea L Toldi |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851787790 PECOS PAC ID: 6204131162 Enrollment ID: I20210105001932 |
Provider Name | Adam Whalen |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1396067963 PECOS PAC ID: 5092033100 Enrollment ID: I20220119001273 |
Provider Name | Renu Gautam |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558744417 PECOS PAC ID: 4284920752 Enrollment ID: I20220629001205 |
Provider Name | Luis Damaso Garcia |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225744287 PECOS PAC ID: 6002276920 Enrollment ID: I20230724001557 |
Provider Name | Nicole Marie Walters |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386238012 PECOS PAC ID: 9537520309 Enrollment ID: I20230727000864 |
Provider Name | Mohammed Ata |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053971119 PECOS PAC ID: 1850627399 Enrollment ID: I20231010004036 |
Mailing Address | Practice Location Address |
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East Coast Injury Clinic Po Box 936957, Atlanta, GA 31193-6957 Ph: (941) 209-5410 | East Coast Injury Clinic 10550 Deerwood Park Blvd Ste 609a, Jacksonville, FL 32256-2811 Ph: (904) 513-3954 |