Provider Demographics
NPI:1821472341
Name:NEUROLOGY CLINIC OF JACKSONVILLE LLC
Entity Type:Organization
Organization Name:NEUROLOGY CLINIC OF JACKSONVILLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJUL
Authorized Official - Middle Name:
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-296-4126
Mailing Address - Street 1:9838 OLD BAYMEADOWS RD
Mailing Address - Street 2:STE 377
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-8101
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:512-233-5299
Practice Address - Street 1:9838 OLD BAYMEADOWS RD
Practice Address - Street 2:STE 377
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-8101
Practice Address - Country:US
Practice Address - Phone:904-570-4444
Practice Address - Fax:512-233-5299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-14
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty