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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IMPACT 13 MEDICAL, PLLC

Active Organization

IMPACT 13 MEDICAL, PLLC is a Neurology organization located in JACKSONVILLE, Florida. NPI 1548805617 is currently active in the NPPES registry. Verify at CMS.

Neurology · JACKSONVILLE, FL

Registration Details

NPI Number
1548805617
Provider Type
Organization
NPI Issued
Nov 13, 2019 (6.7679856471721 yrs)
Last Updated
Dec 18, 2019

Practice Information

Address
10752 DEERWOOD PARK BLVD
SOUTH WATERVIEW II SUITE 100
JACKSONVILLE, FL, 32256
Browse FL providers · Browse ZIP 32256
Phone
9047551017
Fax
6467740386
Primary Specialty
Neurology
2084N0400X
Additional Specialty
Psychiatric Neurology
Additional Specialty
Geriatric Psychiatry
Additional Specialty
Neurology
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.