Active NPI
Neurology Associates of North Florida Diagnostics,Inc.
- Legal Medicine
- Jacksonville Beach, FL
National Provider Identifier
1558509596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- ME62533
- Legal business name
- NEUROLOGY ASSOCIATES OF NORTH FLORIDA DIAGNOSTICS,INC.
- Practice address
- 1361 13TH Ave S
Ste 170a
Jacksonville Beach, FL 32250-3233 - Phone
- (904) 249-4456
- Fax
- (904) 249-7703
- NPI assigned
- Jan 29, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard J Boehme, M.D.
- Title
- President
- Phone
- (904) 249-4456
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | ME62533 | FL | Primary |
Addresses
Primary practice location
1361 13TH Ave S
Ste 170a
Jacksonville Beach, FL 32250-3233
Mailing address
PO Box 17809
Jacksonville, FL 32245-7809
Phone (904) 249-4456
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233187200000",
"number": "1558509596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17809",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322457809",
"telephone_number": "904-249-4456",
"fax_number": "904-249-7703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1361 13TH AVE S",
"address_2": "STE 170A",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322503233",
"telephone_number": "904-249-4456",
"fax_number": "904-249-7703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGY ASSOCIATES OF NORTH FLORIDA DIAGNOSTICS,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-29",
"last_updated": "2009-01-29",
"status": "A",
"authorized_official_last_name": "BOEHME",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-249-4456",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "FL",
"license": "ME62533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.