NEUROTECH INC NPI 1396828448

NPI Information

  • NPI: 1396828448
  • Provider Name: NEUROTECH INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 10D1105827
  • Address: 930 KINGSLEY AVE
    ORANGE PARK, FL
    ZIP 32073
  • Phone: (904) 269-0500

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NPI Details

NEUROTECH INC is a family medicine in Orange Park, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NEUROTECH INC NPI is 1396828448. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

930 KINGSLEY AVE
ORANGE PARK, FL
ZIP 32073
Phone: (904) 269-0500
Fax: (904) 269-9805

The provider's authorized official is Charles W Laskey .
The authorized official title is Financial Operator and has the following contact phone number (904) 269-0500.

The CLIA number assigned to this NPI record is 10D1105827 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 8/22/2020.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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