Organization Active NPI

Neurology Specialists of Jacksonville PA

  • Neurology Physician
  • Jacksonville, FL
National Provider Identifier
1679726889
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY SPECIALISTS OF JACKSONVILLE PA
Practice address
3627 University Blvd S
Suite 255
Jacksonville, FL 32216-4230
Phone
(904) 396-4666
Fax
(904) 396-4777
NPI assigned
Oct 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Ms. Eileen E Groblewski
Title
Practice Administrator
Phone
(904) 514-9510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

3627 University Blvd S
Suite 255
Jacksonville, FL 32216-4230

Mailing address

13245 Atlantic Blvd
Suite 4-332
Jacksonville, FL 32225-7121
Phone (904) 396-4666

National Provider Directory

National Provider Directory

Locations

13245 Atlantic Blvd
Ste 4332
Jacksonville, FL 32225

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1679726889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13245 ATLANTIC BLVD",
            "address_2": "SUITE 4-332",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257121",
            "telephone_number": "904-396-4666",
            "fax_number": "904-396-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 UNIVERSITY BLVD S",
            "address_2": "SUITE 255",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164230",
            "telephone_number": "904-396-4666",
            "fax_number": "904-396-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY SPECIALISTS OF JACKSONVILLE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "GROBLEWSKI",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "904-514-9510",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "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 Nov 20, 2008; 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.