NPIMap

Organization Active NPI

Neurological Care Center, L.L.C.

  • Specialist
  • Jacksonville, FL
National Provider Identifier
1043358005
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0039492 Issued in FL
Legal business name
NEUROLOGICAL CARE CENTER, L.L.C.
Practice address
2736 University Blvd W
Jacksonville, FL 32217-2179
Phone
(904) 733-4262
Fax
(904) 636-5786
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Carlos H. Gama, M.D.NPI 1497750038
Title
Group Practice Owner
Phone
(904) 733-4262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME0039492 FL Primary

Addresses

Primary practice location

2736 University Blvd W
Jacksonville, FL 32217-2179

Mailing address

2736 University Blvd W
Suite 3
Jacksonville, FL 32217-2179
Phone (904) 733-4262

National Provider Directory

National Provider Directory

Locations

2736 University Blvd W
Jacksonville, FL 32217
Phone (904) 446-8810

2736 University Blvd W
Ste 3
Jacksonville, FL 32217
Phone (904) 292-8510

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1043358005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2736 UNIVERSITY BLVD W",
            "address_2": "SUITE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172179",
            "telephone_number": "904-733-4262",
            "fax_number": "904-636-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2736 UNIVERSITY BLVD W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172179",
            "telephone_number": "904-733-4262",
            "fax_number": "904-636-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL CARE CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "GAMA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "GROUP PRACTICE OWNER",
        "authorized_official_telephone_number": "904-733-4262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0039492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.