Neurological Care Center, L.L.C.
Specialist in Jacksonville, FL. Organization (NPI-2).
NPI number1043358005
StatusActive
Last updated in NPPESAug 11, 2009
Details
- NPI
- 1043358005
- Entity type
- Organization (NPI-2)
- Legal business name
- Neurological Care Center, L.L.C.
- Organization subpart
- No
- Enumeration date
- Feb 2, 2007
- Last updated
- Aug 11, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | ME0039492 | FL | Yes |
Practice location
2736 University Blvd WJacksonville, FL 32217-2179
Phone 904-733-4262 · Fax 904-636-5786
Mailing address
2736 University Blvd WSuite 3
Jacksonville, FL 32217-2179
Phone 904-733-4262 · Fax 904-636-5786
Authorized official
Carlos H. Gama
Group Practice Owner
9047334262
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