| Neurotech Inc | |
|
930 Kingsley Ave Orange Park FL 32073 | |
| (904) 269-0500 | |
| (904) 269-9805 |
| Full Name | Neurotech Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 930 Kingsley Ave, Orange Park, Florida |
| Authorized Official Name and Position | Charles W Laskey (FINANCIAL OPERATOR) |
| Authorized Official Contact | 9042690500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurotech Inc 930 Kingsley Ave Orange Park FL 32073 Ph: (904) 269-0500 | Neurotech Inc 930 Kingsley Ave Orange Park FL 32073 Ph: (904) 269-0500 |
| NPI Number | 1396828448 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5890735930 |
|---|---|
| Medicare Enrollment ID | O20111018000063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396828448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Joseph M Shaughnessy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336236900 PECOS PAC ID: 9638119399 Enrollment ID: I20070724000378 |
| Provider Name | Casey L Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245587393 PECOS PAC ID: 6406005669 Enrollment ID: I20121003000202 |
| Provider Name | Chandler L Yeazitzis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245609189 PECOS PAC ID: 3779884853 Enrollment ID: I20151214002727 |
| Provider Name | Christopher S Robertson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710169784 PECOS PAC ID: 4183700966 Enrollment ID: I20171003004031 |
| Provider Name | Jessica Ryan Volpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427560556 PECOS PAC ID: 0143580175 Enrollment ID: I20180212001488 |
| Provider Name | Lisa Townsend |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154386654 PECOS PAC ID: 4183612047 Enrollment ID: I20220506002214 |
| Provider Name | Andrea Nicole Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891341681 PECOS PAC ID: 3971939026 Enrollment ID: I20241121004902 |
Coastal Health Primary Care LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Wells Rd Ste 300, Orange Park, FL 32073 Phone: 904-282-6331 Fax: 904-619-1080 |
Teddy Garcia MD PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 784 Blanding Blvd, Ste 108, Orange Park, FL 32065 Phone: 904-272-7778 Fax: 904-272-7742 |
Vital Health Associates of Florida LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Corporate Way Ste 200, Orange Park, FL 32073 Phone: 904-282-6331 Fax: 904-866-4818 |
Hyatt Haven Mental Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2140 Kingsley Ave Ste 8, Orange Park, FL 32073 Phone: 904-742-8623 |
Affan Quadri MD, PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3627 Westover Rd, Orange Park, FL 32003 Phone: 904-298-2272 |
Robert Koe M.d, P.a Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1543 Kingsley Ave Ste 12, Orange Park, FL 32073 Phone: 904-269-9777 Fax: 904-264-9774 |