INNERVATE NEUROLOGY CLINIC, INC.
Medical Practice at Old Saint Augustine Rd, Jacksonville, FL

License number
Florida ME122880
Category
Neurology
Type
Neurology
License number
Florida ME122880
Category
Neurology
Type
Clinical Neurophysiology
License number
Florida ME122880
Category
Medical Practice
Type
Neuromuscular Medicine
Owner
Name: MR. AURELIO A MUZAURIETA JR.
Title: PRESIDENT
Phone: (904) 631-2669
Address
Address 2
14810 Old Saint Augustine Rd SUITE 207B, Jacksonville, FL 32258
PO Box 1450, Orange Park, FL 32067
National Provider ID: 1972979888
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about INNERVATE NEUROLOGY CLINIC, INC. at bizstanding.com

INNERVATE NEUROLOGY CLINIC, INC

Jacksonville, FL  -  Orange Park, FL

Registration:
Jul 20, 2015
Addresses:
14810 Old St Augustine Rd, Jacksonville Beach, FL 32250 (Physical)
Orange Park, FL 32067 (Mailing)
State ID:
P15000062016
Business type:
Florida Profit Corporation
S:
Aurelio A Muzaurieta, PO Box 1450, Orange Park, FL 32067 (Physical),Muzaurieta, Aurelio A, Jr, PO Box 1450, Orange Park, FL 32067 (Physical),Heller, Scott A, M.d, 108 Quail Crk Cir, Saint Johns, FL 32259 (Physical),...
FEI/EIN:
47-4453495

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