Organization
PHYSIATRY CONSULTS OF JACKSONVILLE. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATALYA BULAEVA BULAEVA MD (MGR)
(904) 860-1123
Entity
Organization
Contact information
Practice address
1750 STOCKTON ST, JACKSONVILLE, FL 32204-4664
(190) 486-0112
Mailing address
836 BAYTREE LN, PONTE VEDRA BEACH, FL 32082-4162
(904) 860-1123
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003169167A
—
GA
Enumeration date
08/01/2018
Last updated
08/01/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us