Nagula & Associates, PLLC
Physical Medicine & Rehabilitation, Pain Medicine in Jacksonville Beach, FL. Organization (NPI-2).
NPI number1598015133
StatusActive
Last updated in NPPESOct 30, 2012
Details
- NPI
- 1598015133
- Entity type
- Organization (NPI-2)
- Legal business name
- Nagula & Associates, PLLC
- Organization subpart
- No
- Enumeration date
- Sep 11, 2012
- Last updated
- Oct 30, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | – | – | Yes |
Practice location
1361 13th Ave SSuite 140
Jacksonville Beach, FL 32250-3233
Phone 904-261-8400 · Fax 904-261-2255
Mailing address
1361 13th Ave SSuite 140
Jacksonville Beach, FL 32250-3233
Phone 904-261-8400 · Fax 904-261-2255
Authorized official
Diwakar Nagula
Owner
9126737074
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