Baptist Neurology Inc | |
1370 13th Ave S Suite 215 Jacksonville Beach FL 32250-3230 | |
(904) 249-1041 | |
(904) 249-9764 |
Full Name | Baptist Neurology Inc |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 1370 13th Ave S, Jacksonville Beach, Florida |
Authorized Official Name and Position | Earl B Mally (SENIOR VICE PRESIDENT) |
Authorized Official Contact | 9043764275 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Baptist Neurology Inc Po Box 41113 Jacksonville FL 32203-1113 Ph: (904) 376-4400 | Baptist Neurology Inc 1370 13th Ave S Suite 215 Jacksonville Beach FL 32250-3230 Ph: (904) 249-1041 |
NPI Number | 1104058874 |
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Provider Enumeration Date | 08/14/2009 |
Last Update Date | 06/25/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104058874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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