Mcgreevy Neurohealth | |
559 W Twincourt Trl #607 St Augustine FL 32095-8805 | |
(904) 230-3006 | |
Not Available |
Full Name | Mcgreevy Neurohealth |
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Speciality | Pain Medicine |
Location | 559 W Twincourt Trl, St Augustine, Florida |
Authorized Official Name and Position | Kai Mcgreevy (OWNER) |
Authorized Official Contact | 9042303006 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mcgreevy Neurohealth 559 W Twincourt Trl #607 St Augustine FL 32095-8805 Ph: (904) 230-3006 | Mcgreevy Neurohealth 559 W Twincourt Trl #607 St Augustine FL 32095-8805 Ph: (904) 230-3006 |
NPI Number | 1033505706 |
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Provider Enumeration Date | 04/09/2015 |
Last Update Date | 08/17/2015 |
Medicare PECOS PAC ID | 6103132352 |
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Medicare Enrollment ID | O20150902001390 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033505706 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | ME109028 (Florida) | Secondary |
208VP0000X | Pain Medicine - Pain Medicine | ME109028 (Florida) | Primary |
Provider Name | Kai Mcgreevy |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1922208610 PECOS PAC ID: 2769668755 Enrollment ID: I20110811000414 |
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