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7807 Baymeadows Rd E Suite 401 Jacksonville FL 32256-9664 | |
| (904) 730-3689 | |
| (904) 730-3688 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7807 Baymeadows Rd E, Jacksonville, Florida |
| Authorized Official Name and Position | Erin G Doty (PHYSICIAN OWNER) |
| Authorized Official Contact | 9047303689 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
7807 Baymeadows Rd E Suite 401 Jacksonville FL 32256-9664 Ph: (904) 730-3689 | 7807 Baymeadows Rd E Suite 401 Jacksonville FL 32256-9664 Ph: (904) 730-3689 |
| NPI Number | 1629201371 |
|---|---|
| Provider Enumeration Date | 08/28/2009 |
| Last Update Date | 01/06/2011 |
| Medicare PECOS PAC ID | 1052446911 |
|---|---|
| Medicare Enrollment ID | O20100317000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629201371 | NPI | - | NPPES |
| DQ0865 | Other | FL | R.R. MEDICARE |
| 46878 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME90477 (Florida) | Primary |
| Provider Name | Erin G Doty |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790866747 PECOS PAC ID: 2264497270 Enrollment ID: I20041201000203 |
| Provider Name | Steven A Toenjes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679585764 PECOS PAC ID: 2163616145 Enrollment ID: I20101103001061 |
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