Baptist Neurology INC
NPI #1104058874 in Jacksonville Beach, Florida
Provider Information
- NPI Number
- 1104058874
- Entity Type
- Organization
- Organization Name
- Baptist Neurology INC
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Aug 14, 2009
- Last Updated
- Jun 25, 2010
Practice Location
- Address
- 1370 13TH AVE S
- Address 2
- SUITE 215
- State
- Florida
- ZIP Code
- 32250-3230
- Phone
- (904) 249-1041
Authorized Official
- Name
- EARL B MALLY
- Title
- SENIOR VICE PRESIDENT
- Phone
- (904) 376-4275
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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