Organization
HOME CARE NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SEBESTO DO (PRESIDENT)
(912) 308-5113
Entity
Organization
Contact information
Practice address
630 SHERRY DR, ATLANTIC BEACH, FL 32233-5356
(912) 308-5113
Mailing address
PO BOX 331027, ATLANTIC BEACH, FL 32233-1027
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
OS11900
FL
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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