Organization · Type 2 NPI

ST Vincents Ambulatory Care Inc

Neurological Surgery Physician · Jacksonville, FL

NPI number 1417987124 Active

Practice location

2 Shircliff Way, Suite 600
Jacksonville, FL 32204-4742

Fax (904) 308-4072

Mailing address

4500 Salisbury Rd Ste 210
Jacksonville, FL 32216-0968

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XNone listed
Cardiovascular Disease Physician 207RC0000XNone listed
Clinical Cardiac Electrophysiology Physician 207RC0001XNone listed
Clinical Cardiac Electrophysiology Physician 207RC0001XNone listed
Pulmonary Disease Physician 207RP1001XNone listed
Neurological Surgery Physician Primary 207T00000XNone listed
Neurological Surgery Physician 207T00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Surgery Physician 208600000XNone listed
Vascular Surgery Physician 2086S0129XNone listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1417987124

ST Vincents Ambulatory Care Inc's National Provider Identifier is 1417987124, issued on Jul 5, 2006. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 17, 2022.