Organization
COGNITIVE CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER ROSSILLI (OWNER)
(904) 579-2265
Entity
Organization
Contact information
Practice address
4565 US HIGHWAY 17 STE 106, FLEMING ISLAND, FL 32003-4822
(904) 579-2265
Mailing address
10950-60 SAN JOSE BLVD., SUITE 169, JACKSONVILLE, FL 32223
(904) 770-5199
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
08/12/2015
Last updated
06/08/2020
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