Southeastern Neuroscience Institute PA
NPI #1700099017 in Jacksonville, Florida
Provider Information
- NPI Number
- 1700099017
- Entity Type
- Organization
- Organization Name
- Southeastern Neuroscience Institute PA
- Primary Specialty
- Specialist
- Enumeration Date
- May 7, 2007
- Last Updated
- May 20, 2008
Practice Location
- Address
- 3728 PHILLIPS HWY
- Address 2
- SUITE 31
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32207-9300
- Phone
- (904) 346-0707
Authorized Official
- Name
- DR. JACOB GREEN, MD, PH.D
- Title
- CEO, NEUROLOGIST
- Phone
- (904) 346-0707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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