JACKSONVILLE MS AND NEUROLOGY CENTER, P.A. (NPI# 1922335389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922335389 |
| Entity Type | Organization |
| Organization Name | JACKSONVILLE MS AND NEUROLOGY CENTER, P.A. |
| Practice Address |
1895 Kingsley Ave Ste 903 Orange Park FL 32073-4410 |
| Mailing Address |
Po Box 17809 Jacksonville FL 32245-7809 |
| Practice Telephone | 9042761663 |
| Practice Fax Number | 9042762469 |
| Mailing Telephone | 9047235665 |
| Mailing Fax Number | 9043380951 |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2012-01-24 |
| Authorized Official Name | VICTOR A MAQUERA (PRESIDENT) |
| Authorized Official Telephone | 9042761663 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME59449 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 28344 | 01 |
| Street Address |
1895 KINGSLEY AVE STE 903 |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-4410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790011062 | Maryann Kenneson | Urology | 1895 Kingsley Ave Ste 903, Orange Park, FL 32073-4410 | 2009-10-21 |
| 1285182659 | Florida Pain Specialists Pllc | Skilled Nursing Facility | 1895 Kingsley Ave Ste 903, Orange Park, FL 32073-4410 | 2016-09-14 |
| 1285983098 | Mary Ann Kenneson, M.d., LLC | Specialist | 1895 Kingsley Ave Ste 903, Orange Park, FL 32073-4410 | 2012-09-07 |
| 1487954723 | Travis Randall Von Tobel | Surgery | 1895 Kingsley Ave Ste 903, Orange Park, FL 32073-4410 | 2010-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942444757 | Dr Jared Gaines Md Pa | Psychiatry & Neurology | 1555 Kingsley Ave Bldg 300, Suite 305, Orange Park, FL 32073-4560 | 2009-04-23 |
| 1184609620 | Ana Maria Jorquera | Psychiatry & Neurology | 421 Kingsley Ave Ste 400, Orange Park, FL 32073-4898 | 2005-12-07 |
| 1538140371 | Dennis D Dewey | Psychiatry & Neurology | 2300 Park Ave Ste 102, Orange Park, FL 32073-5572 | 2005-11-09 |
| 1891786059 | Victor A Maquera | Psychiatry & Neurology | 1895 Kingsley Ave, Ste 903, Orange Park, FL 32073-4466 | 2005-11-04 |
| 1689236978 | Neurocare Inc. | Psychiatry & Neurology | 1210 Kingsley Ave Ste 1, Orange Park, FL 32073-4615 | 2019-07-08 |
| 1033534821 | Neurotek Inc | Psychiatry & Neurology | 1202 Kingsley Ave, Orange Park, FL 32073-4632 | 2014-03-03 |
| 1073840435 | Dennis D. Dewey, M.d., P.a. | Psychiatry & Neurology | 1895 Kingsley Ave Ste 805, Orange Park, FL 32073-4410 | 2009-11-05 |
| 1639327893 | Ronnie Lee Bond | Psychiatry & Neurology | 1887 Kingsley Ave, Suite 1900, Orange Park, FL 32073-4416 | 2008-08-29 |
| 1629175526 | Islam Tafish | Psychiatry & Neurology | 1665 Kingsley Ave, Suite 107, Orange Park, FL 32073-4490 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043820087 | Lewis Leckey Hamilton | Psychiatry & Neurology | 471 Palm Ave, Boca Grande, FL 33921-1157 | 2020-08-04 |
| 1588282776 | Magic Medical Specialties Corp | Psychiatry & Neurology | 9421 S Orange Blossom Trl # 19, Orlando, FL 32837-8320 | 2020-07-14 |
| 1235757899 | Miami Headache Center, Pllc | Psychiatry & Neurology | 5415 Collins Ave Apt Phe, Miami Beach, FL 33140-2575 | 2020-07-10 |
| 1982220307 | Thornley Health, LLC | Psychiatry & Neurology | 4014 Sawyer Rd, Sarasota, FL 34233 | 2020-06-22 |
| 1104458462 | Neuro Synchrony LLC | Psychiatry & Neurology | 1745 E Hwy 50 Ste B1, Clermont, FL 34711-5190 | 2020-02-05 |
| 1568008373 | Tallahassee Memorial Healthcare Inc | Psychiatry & Neurology | 7514 Park Springs Cir, Orlando, FL 32835-2619 | 2019-11-27 |
| 1104387935 | Remyelix Neurology & Multiple Sclerosis Institute, Pllc | Psychiatry & Neurology | 4907 N Florida Ave, Tampa, FL 33603-2119 | 2019-03-26 |
| 1811461353 | Ricardo Villalobos Pa | Psychiatry & Neurology | 16606 Broadwater Ave, Winter Garden, FL 34787 | 2019-01-17 |
| 1164995528 | Rayyan Neurological Association LLC | Psychiatry & Neurology | 10022 Crystalline Ct, Orlando, FL 32836-6024 | 2019-01-09 |
| 1326511007 | Parkinsons & Memory Center Pa | Psychiatry & Neurology | 919 N Osprey Ave # B, Sarasota, FL 34236-4143 | 2019-01-06 |
| Find all providers with the same taxonomy | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.