Organization
BAPTIST NEUROLOGY INC
Active
Organization
BAPTIST NEUROLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON R KIMBALL (DIRECTOR)
(904) 202-6295
Entity
Organization
Contact information
Practice address
1340 S 18TH ST STE 104, FERNANDINA BEACH, FL 32034-4733
(904) 277-3311
(904) 390-7438
Mailing address
PO BOX 41113, JACKSONVILLE, FL 32203-1113
(904) 376-4400
(904) 391-5595
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
01/21/2021
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