IMPACT 13 MEDICAL PLLC NPI 1548805617

NPI Information

IMPACT 13 MEDICAL, PLLC is a neurology psychiatry neurology in Jacksonville, FL. The provider is 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. IMPACT 13 MEDICAL, PLLC NPI is 1548805617. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10752 DEERWOOD PARK BLVD
SOUTH WATERVIEW II SUITE 100
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 755-1017
Fax: (646) 774-0386

The provider's authorized official is Wil E Germain .
The authorized official title is Owner and has the following contact phone number (516) 412-1608.

The enumeration date for this NPI number is 11/13/2019 and was last updated on 12/18/2019.

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:

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