IMPACT 13 MEDICAL, PLLC – NPI #1548805617
Psychiatry & 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.
IMPACT 13 MEDICAL, PLLC is a psychiatry & neurologist located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1548805617 to IMPACT 13 MEDICAL, PLLC on November 13, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 6 years ago on Dec 18, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IMPACT 13 MEDICAL, PLLC below.
NPI Profile for
IMPACT 13 MEDICAL, PLLC
(more than 6 years ago)
SOUTH WATERVIEW II SUITE 100
JACKSONVILLE, FL 32256 Phone: (904) 755-1017 Fax: (646) 774-0386
OWNER
Phone: (516) 412-1608
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2084N0400X - Psychiatry & Neurology / Neurology (Primary) |
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| 363LP0808X - Nurse Practitioner / Psychiatric/Mental Health |
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| 2084P0805X - Psychiatry & Neurology / Geriatric Psychiatry |
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| 2084P0804X - Psychiatry & Neurology / Child & Adolescent Psychiatry |
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| 1041C0700X - Social Worker / Clinical |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.