NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

IMPACT 13 MEDICAL, PLLC
10752 DEERWOOD PARK BLVD
SOUTH WATERVIEW II SUITE 100
JACKSONVILLE, FL32256
 Phone: 904-755-1017
 Fax: 646-774-0386
 Website:
 

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
Indicates primary specialty

NPI Profile & details for IMPACT 13 MEDICAL, PLLC

NPI Number 1548805617
LBN Legal business name IMPACT 13 MEDICAL, PLLC
Authorized official WIL GERMAIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/13/2019
Last updated 12/18/2019 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

Reviews for IMPACT 13 MEDICAL, PLLC

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for IMPACT 13 MEDICAL, PLLC
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Doctors & Physicians
ASHLEY JENKINS, MSW, RCSWI, CPT
10175 FORTUNE PKWY
JACKSONVILLE, FL
BAPTIST CARDIOLOGY INC
11851 STILLWOOD PINES BLVD
JACKSONVILLE, FL
SARAL CARELA, APRN
10131 SAN JOSE BLVD STE 24
JACKSONVILLE, FL
BREAKTHROUGHS: COUNSELING & RECOVERY, INC.
3810-3 WILLIAMSBURG PK. BLVD.
JACKSONVILLE, FL
LAURA J ROWE, ARNP
3599 UNIVERSITY BLVD. SOUTH
JACKSONVILLE, FL
COLLEEN K SUTTER, ARNP
4057 ATLANTIC BLVD
JACKSONVILLE, FL
RAJ D SHETH, MD
807 CHILDREN'S WAY
JACKSONVILLE, FL
RAQUEL STELZER, APRN
1631 RACE TRACK RD
FRUIT COVE, FL
DANIEL J BUTTON, LCSW
102 10TH AVE N
JACKSONVILLE BEACH, FL
RODEL GLORIA, APRN
915 WEST MONROE STREET
JACKSONVILLE, FL

  View all Doctors & Physicians
v2.403