NPI 1013277656

Justin Michael Mortimer, MD

Practitioner Psychiatry Physician Jacksonville, FL

Practice location

Address: 2732 Trollie Ln, Jacksonville, FL 32211-3833
Phone: (904) 289-1254

Registered specialties (2)

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence ME154109 (FL)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1013277656
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 May 2012
Record last updated: 30 May 2024

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.