Individual
JULIE E HAMMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
30448
MN
2084N0400X
Neurology Physician
Primary
ME132892
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
794018100
—
MN
Enumeration date
12/21/2005
Last updated
08/28/2020
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