JACKSONVILLE NEUROLOGICAL CLINIC, P.A.
NPI 1710934930
Specialist in Orange Park, FL

Active since May 31, 2006
1895 KINGSLEY AVE STE 805, ORANGE PARK, FL 32073(904) 276-2220(904) 276-2578 Get Directions Write a Review

NPPES record last updated: November 20, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacksonville Neurological Clinic, P.a. NPPES

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

JACKSONVILLE NEUROLOGICAL CLINIC, P.A. (NPI 1710934930) is a healthcare organization registered as a specialist in Orange Park, Florida and active in the NPI registry since May 2006. The organization lists Dennis Dewey, President, as its authorized official.

NPPES Registry Identity

NPI1710934930
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJACKSONVILLE NEUROLOGICAL CLINIC, P.A.
Location Address1895 KINGSLEY AVE STE 805Orange Park, FL 32073-4410
Mailing AddressPo Box 17809Jacksonville, FL 32245-7809 · (904) 723-0015 · Fax (904) 338-0951
Fax(904) 276-2578
Organization SubpartNo
Authorized OfficialDennis DeweyPresident · (904) 276-2220
Enumeration DateMay 31, 2006
Last NPPES UpdateNovember 20, 2007
NPI 1710934930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
1895 KINGSLEY AVE STE 805, Orange Park, FL 32073

Other Identifiers 3

Medicare ID-Type Unspecified00506FL
Other00506FL · Bcbs
OtherCF1455FL · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Psychiatry & Neurology (Neurology)
1895 KINGSLEY AVE STE 805
ORANGE PARK, FL 32073

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 Jacksonville Neurological Clinic, P.A.'s NPI number?

The NPI number for Jacksonville Neurological Clinic, P.A. is 1710934930. It was assigned to this organization in the NPPES registry on May 31, 2006.

Where is Jacksonville Neurological Clinic, P.A. located?

Jacksonville Neurological Clinic, P.A. is located at 1895 Kingsley Ave Ste 805, Orange Park, FL 32073. The listed phone number is (904) 276-2220.

What is Jacksonville Neurological Clinic, P.A.'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 Jacksonville Neurological Clinic, P.A. was last updated on November 20, 2007. 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.