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Contact Information

INNERVATE NEUROLOGY CLINIC, INC.
14810 OLD SAINT AUGUSTINE RD
SUITE 207B
JACKSONVILLE, FL32258-2451
 Phone: 904-298-2525
 Fax: 904-677-7873
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Neuromuscular Medicine

2081N0008X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for INNERVATE NEUROLOGY CLINIC INC · (Female)

NPI Number 1972979888
Status Active
Credentials
Entity Individual
Enumeration date 08/14/2015
Last updated 08/14/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME122880
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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