Organization · Type 2 NPI

Medical Neurodiagnostics & Neurology PL

Specialist · Orange Park, FL

NPI number 1134443583 Active

Practice location

1536 Kingsley Ave Ste 116
Orange Park, FL 32073-4525

Call (904) 723-5665 Map

Fax (904) 338-0951

Mailing address

PO Box 17809
Jacksonville, FL 32245-7809

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPA9101871 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1134443583

Medical Neurodiagnostics & Neurology PL's National Provider Identifier is 1134443583, issued on Mar 15, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Orange Park, FL. The record was last updated on Jul 22, 2010.