ANTON S GEORGIEV PMHNP-BC NPI 1639841299

NPI Information

Anton S Georgiev, PMHNP-BC is a psychiatric/mental health nurse practitioner in Jacksonville, FL. Anton S Georgiev, PMHNP-BC NPI is 1639841299. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10175 FORTUNE PKWY UNIT 1106
JACKSONVILLE, FL
ZIP 32256-757
Phone: (904) 379-5928

The NPI 1639841299 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/1/2021 and was last updated on 10/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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