Provider Demographics
NPI:1518223965
Name:ULYSSES D. FINDLEY, MD, PA
Entity Type:Organization
Organization Name:ULYSSES D. FINDLEY, MD, PA
Other - Org Name:JAX MED AND REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ULYSSES
Authorized Official - Middle Name:
Authorized Official - Last Name:FINDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:904-389-3811
Mailing Address - Street 1:1660 BLANDING BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32210-1835
Mailing Address - Country:US
Mailing Address - Phone:904-389-3811
Mailing Address - Fax:904-389-3821
Practice Address - Street 1:1660 BLANDING BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-1835
Practice Address - Country:US
Practice Address - Phone:904-389-3811
Practice Address - Fax:904-389-3821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-10
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10787111NR0400X
FL207LP2900X
FLME714052081N0008X
FLME921792081N0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular MedicineGroup - Multi-Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG745711Medicare UPIN