Active NPI
Neurology Specialists of Jacksonville PA
- Neurology Physician
- Jacksonville, FL
National Provider Identifier
1679726889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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 DirectoryLocations
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.