NPI 1043358005

Neurological Care Center, L.L.C.

Organisation Specialist Jacksonville, FL

Practice location

Address: 2736 University Blvd W, Jacksonville, FL 32217-2179
Phone: (904) 733-4262
Fax: (904) 636-5786
Mailing address: 2736 University Blvd W Suite 3, Jacksonville, FL 32217-2179

Authorised official

Name: Carlos H. Gama
Title: Group Practice Owner
Phone: (904) 733-4262

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence ME0039492 (FL)

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Registry record

NPI: 1043358005
Entity type: Organization
NPI issued: 2 Feb 2007
Record last updated: 11 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.