Organization · Type 2 NPI

Innervate Neurology Clinic, Inc.

Neurology Physician · Jacksonville, FL

NPI number 1972979888 Active

Practice location

14810 Old Saint Augustine Rd, Suite 207B
Jacksonville, FL 32258-2451

Fax (904) 677-7873

Mailing address

PO Box 1450
Orange Park, FL 32067-1450

Specialties and licenses

TaxonomyCodeLicense
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician 2081N0008XME122880 (FL)
Neurology Physician Primary 2084N0400XME122880 (FL)
Clinical Neurophysiology Physician 2084N0600XME122880 (FL)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

6 other providers at this address

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About NPI 1972979888

Innervate Neurology Clinic, Inc.'s National Provider Identifier is 1972979888, issued on Aug 14, 2015. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 14, 2015.