Provider Type Icon

INNERVATE NEUROLOGY CLINIC INC. NPI 1972979888


NPI Information

NPI: 1972979888
Provider Name: INNERVATE NEUROLOGY CLINIC, INC.

Doing Business As: INNERVATE MUSCLE AND NERVE SPECIALIST

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
14810 OLD SAINT AUGUSTINE RD
SUITE 207B
JACKSONVILLE, FL
ZIP 32258
Phone: (904) 298-2525
Get Directions

INNERVATE NEUROLOGY CLINIC, INC. 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. INNERVATE NEUROLOGY CLINIC, INC. NPI is 1972979888. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Innervate Muscle And Nerve Specialist.

The provider's business location address is:

14810 OLD SAINT AUGUSTINE RD
SUITE 207B
JACKSONVILLE, FL
ZIP 32258-451
Phone: (904) 298-2525
Fax: (904) 677-7873

The provider's authorized official is Aurelio A Muzaurieta .
The authorized official title is President and has the following contact phone number (904) 631-2669.

The enumeration date for this NPI number is 8/14/2015 and was last updated on 8/14/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081N0008XPhysical Medicine & RehabilitationNeuromuscular MedicineME122880FLORIDANo
22084N0600XPsychiatry & NeurologyClinical NeurophysiologyME122880FLORIDANo
32084N0400XPsychiatry & NeurologyNeurologyME122880FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.