| Neurology Clinic Of Jacksonville Llc | |
|
9838 Old Baymeadows Rd Ste 377 Jacksonville FL 32256-8101 | |
| (904) 570-4444 | |
| (512) 233-5299 |
| Full Name | Neurology Clinic Of Jacksonville Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9838 Old Baymeadows Rd, Jacksonville, Florida |
| Authorized Official Name and Position | Rajul Parikh (OWNER) |
| Authorized Official Contact | 5122964126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Clinic Of Jacksonville Llc 9838 Old Baymeadows Rd Ste 377 Jacksonville FL 32256-8101 Ph: () - | Neurology Clinic Of Jacksonville Llc 9838 Old Baymeadows Rd Ste 377 Jacksonville FL 32256-8101 Ph: (904) 570-4444 |
| NPI Number | 1821472341 |
|---|---|
| Provider Enumeration Date | 07/14/2015 |
| Last Update Date | 11/04/2015 |
| Medicare PECOS PAC ID | 0042520538 |
|---|---|
| Medicare Enrollment ID | O20151112002964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821472341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Rajul Parikh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417098930 PECOS PAC ID: 3678765500 Enrollment ID: I20110817000790 |
| Provider Name | Lateya Foxx |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023329372 PECOS PAC ID: 0648498105 Enrollment ID: I20140825001321 |
| Provider Name | Tikilia Denise Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366947475 PECOS PAC ID: 8527490564 Enrollment ID: I20191113002881 |
| Provider Name | Jessica Lea Hammett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629778360 PECOS PAC ID: 4082089784 Enrollment ID: I20230411002776 |
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