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NPI Profile for IMPACT 13 MEDICAL PLLC in JACKSONVILLE, FL.
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neurology |
2084N0400X | 13 | Physician/Neurology | |
Child & Adolescent Psychiatry |
2084P0804X | 86 | Physician/Neuropsychiatry | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Geriatric Psychiatry |
2084P0805X | 86 | Physician/Neuropsychiatry | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner |
| NPI # | 1548805617 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/13/2019 | |
| Last updated | 12/18/2019 - About 6 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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IMPACT 13 MEDICAL, PLLC
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IMPACT 13 MEDICAL, PLLC