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SOUTHEASTERN NEUROSCIENCE INSTITUTE PA
NPI 1700099017
Specialist in Jacksonville, FL

Active since May 07, 2007
3728 PHILLIPS HWY, SUITE 31, JACKSONVILLE, FL 32207(904) 346-0707(904) 396-4300 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southeastern Neuroscience Institute Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEASTERN NEUROSCIENCE INSTITUTE PA (NPI 1700099017) is a healthcare organization registered as a specialist in Jacksonville, Florida and active in the NPI registry since May 2007. The organization lists Jacob Green, Ceo, Neurologist, as its authorized official.

NPPES Registry Identity

NPI1700099017
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHEASTERN NEUROSCIENCE INSTITUTE PA
Location Address3728 PHILLIPS HWY, SUITE 31Jacksonville, FL 32207-9300
Mailing Address3728 Phillips Hwy, Suite 32Jacksonville, FL 32207-9300 · (904) 346-0707 · Fax (904) 396-4300
Phone(904) 346-0707
Fax(904) 396-4300
Organization SubpartNo
Authorized OfficialJacob GreenCeo, Neurologist · (904) 346-0707
Enumeration DateMay 7, 2007
Last NPPES UpdateMay 20, 2008
✔ NPI 1700099017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in FL · ME0013636✔ Licensed in FL · ME 59265✔ Licensed in FL · ME45606
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3728 PHILLIPS HWY, Jacksonville, FL 32207
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Other Identifiers 12

Medicare UPIND61063FL
Medicare UPIND45481FL
Medicare ID-Type Unspecified046597600FL · Dr. Leonbarth
Medicare ID-Type Unspecified70395ZFL · Dr. Fralicker
Medicare ID-Type Unspecified68370FL · Dr. Warner
Medicare UPIND57880FL
Medicare ID-Type Unspecified04315YFL · Dr. Leonbarth
Medicaid059852600FL
Medicaid380447000FL
Medicare UPINT94415FL
Medicare ID-Type Unspecified16705WFL · Dr. Green
Medicaid266403800FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GSW CLINIC, LLC
Chiropractor
3728 PHILLIPS HWY, SUITE 13
JACKSONVILLE, FL 32207
Duval County (904) 477-4480
INFUSION TECHNOLOGIES INC
Pharmacy (Home Infusion Therapy Pharmacy)
3728 PHILLIPS HWY, STE. 212
JACKSONVILLE, FL 32207
Duval County (904) 399-3332
SHIRLEY & ASSOCIATES CHARTERED
Orthopaedic Surgery
3728 PHILLIPS HWY, SUITE 214A
JACKSONVILLE, FL 32207
Duval County (904) 398-2010
SHIRLEY & ASSOCIATES CHARTERED INC.
Durable Medical Equipment & Medical Supplies
3728 PHILLIPS HWY, SUITE 214A
JACKSONVILLE, FL 32207
Duval County (904) 398-2010
BRITNEY BUCK GRAY
Physical Therapist
3728 PHILLIPS HWY, SUITE 215A
JACKSONVILLE, FL 32207
Duval County (904) 398-0280
CAREMAX MEDICAL RESOURCES, LLC
Durable Medical Equipment & Medical Supplies
3728 PHILLIPS HWY, SUITE 56
JACKSONVILLE, FL 32207
Duval County (904) 399-1170
AMERICAN HOME OXYGEN & HOSPITAL EQUIPMENT, INC
Durable Medical Equipment & Medical Supplies
3728 PHILLIPS HWY
JACKSONVILLE, FL 32207
Duval County (904) 781-4448
JACKSONVILLE RESOURCES INC
Radiology (Diagnostic Radiology)
3728 PHILLIPS HWY, STE 34
JACKSONVILLE, FL 32207
Duval County (907) 398-7226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeastern Neuroscience Institute PA's NPI number?

The NPI number for Southeastern Neuroscience Institute PA is 1700099017. It was assigned to this organization in the NPPES registry on May 7, 2007.

Where is Southeastern Neuroscience Institute PA located?

Southeastern Neuroscience Institute PA is located at 3728 Phillips Hwy Suite 31, Jacksonville, FL 32207. The listed phone number is (904) 346-0707.

What is Southeastern Neuroscience Institute PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Southeastern Neuroscience Institute PA was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.