JACKSONVILLE MS AND NEUROLOGY CENTER, P.A.
NPI 1922335389
Psychiatry & Neurology - Neurology in Orange Park, FL

Active since November 05, 2009
1895 KINGSLEY AVE STE 903, ORANGE PARK, FL 32073(904) 276-1663(904) 276-2469 Get Directions Write a Review

NPPES record last updated: January 24, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Psychiatry & Neurology
  • Neurology

About JACKSONVILLE MS AND NEUROLOGY CENTER, P.A.

This page provides the complete NPI Profile along with additional information for Jacksonville Ms And Neurology Center, P.a., a provider established in Orange Park, Florida operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1922335389 assigned on November 2009. The practitioner's primary taxonomy code is 2084N0400X with license number ME59449 (FL). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Victor A Maquera Md (President)

NPI
1922335389 Verify this NPI
Provider Name
JACKSONVILLE MS AND NEUROLOGY CENTER, P.A.
Entity Type
Organization
Location Address
1895 KINGSLEY AVE STE 903 ORANGE PARK, FL 32073
Location Phone
(904) 276-1663
Location Fax
(904) 276-2469
Mailing Address
PO BOX 17809 JACKSONVILLE, FL 32245
Mailing Phone
(904) 723-5665
Mailing Fax
(904) 338-0951
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-05-2009
Last Update Date
01-24-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
License No.
ME59449
License State
FL
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

VICTOR A MAQUERA MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(904) 276-1663

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
28344OTHER (01)FLBCBS
CV030AMEDICARE PIN (08)FL 

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Urology
1895 KINGSLEY AVE STE 903
ORANGE PARK, FL 32073
Specialist
1895 KINGSLEY AVE STE 903
ORANGE PARK, FL 32073
Nurse Practitioner (Family)
1895 KINGSLEY AVE STE 903
ORANGE PARK, FL 32073

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922335389, enumerated as an "organization" on November 05, 2009.

The provider is located at 1895 KINGSLEY AVE STE 903 ORANGE PARK, FL 32073 and the phone number is (904) 276-1663.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.