Organization
NEUROLOGY ASSOCIATES OF NORTH FLORIDA , INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BOEHME MD (PRESIDENT)
(904) 249-4456
Entity
Organization
Contact information
Practice address
1361 13TH AVE S STE 170A, JACKSONVILLE BEACH, FL 32250-3235
(904) 249-4456
(904) 249-7703
Mailing address
PO BOX 17809, JACKSONVILLE, FL 32245-7809
(904) 723-0015
(904) 338-0951
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME62533
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33708
BCBS
FL
01
—
DD6330
R.R. MEDICARE
—
Enumeration date
05/31/2006
Last updated
01/24/2012
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