Active NPI
Neurocare Inc.
- Neurology Physician
- Orange Park, FL
National Provider Identifier
1689236978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- NEUROCARE INC.
- Practice address
- 1210 Kingsley Ave Ste 1
Orange Park, FL 32073-4615 - Phone
- (904) 276-1663
- Fax
- (904) 276-2469
- NPI assigned
- Jul 8, 2019
- 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
- Brittany Guthrie
- Title
- President
- Phone
- (904) 276-1663
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
1210 Kingsley Ave Ste 1
Orange Park, FL 32073-4615
Mailing address
PO Box 17809
Jacksonville, FL 32245-7809
National Provider Directory
National Provider DirectoryLocations
1210 Kingsley Ave
Ste 1
Orange Park, FL 32073
Phone (904) 276-1663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562544000000",
"number": "1689236978",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 KINGSLEY AVE STE 1",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734615",
"telephone_number": "904-276-1663",
"fax_number": "904-276-2469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROCARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-08",
"last_updated": "2019-07-08",
"status": "A",
"authorized_official_last_name": "GUTHRIE",
"authorized_official_first_name": "BRITTANY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-276-1663"
},
"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 Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.