Organization
NEALIS NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES G NEALIS MD (PRESIDENT)
(904) 725-5222
Entity
Organization
Contact information
Practice address
7300 BEACH BLVD, STE A, JACKSONVILLE, FL 32216-2946
(904) 725-5222
(904) 725-0038
Mailing address
PO BOX 17809, JACKSONVILLE, FL 32245-7809
(904) 723-0015
(904) 338-0951
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME31867
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15440
BCBS
FL
01
—
278856
WELLCARE
FL
01
—
293021
AVMED
FL
01
—
DE9297
RAILROAD MEDICARE
FL
01
—
Q0171
MEDICARE PTAN
FL
Enumeration date
07/16/2006
Last updated
11/25/2009
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