Baptist Neurology Inc | |
841 Prudential Dr 10th Floor Jacksonville FL 32207-8329 | |
(904) 398-5404 | |
(904) 391-5545 |
Full Name | Baptist Neurology Inc |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 841 Prudential Dr, Jacksonville, 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 841 Prudential Dr 10th Floor Jacksonville FL 32207-8329 Ph: (904) 398-5404 | Baptist Neurology Inc 841 Prudential Dr 10th Floor Jacksonville FL 32207-8329 Ph: (904) 398-5404 |
NPI Number | 1982836169 |
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Provider Enumeration Date | 08/20/2009 |
Last Update Date | 11/22/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982836169 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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