SOUTHEASTERN NEUROSCIENCE INSTITUTE PA
Medical Practice at Phillips Hwy, Jacksonville, FL

License number
Florida ME0013636
Category
Medical Practice
Type
Specialist
License number
Florida ME45606
Category
Medical Practice
Type
Specialist
License number
Florida ME 59265
Category
Medical Practice
Type
Specialist
Owner
Name: DR. JACOB GREEN MD, PH.D
Title: CEO, NEUROLOGIST
Phone: (904) 346-0707
Address
Address
3728 Phillips Hwy SUITE 31, Jacksonville, FL 32207
National Provider ID: 1700099017
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SOUTHEASTERN NEUROSCIENCE INSTITUTE PA at bizstanding.com

Southeastern Neuroscience Institute, PA

7999 Philips Hwy, Jacksonville, FL 32256

Industry:
Offices and Clinics of Medical Doctors, Nsk
Doing business as:
Leon-Barth, Carlos A MD
Medical Doctor, Neurologys:
Carlos Leon-Barth (Medical Doctor),Brenda Kelly (Office Manager),Joseph J. Warner (Medical Doctor, Neurology)

Southeastern Neurosciences Institute, PA

Jacksonville, FL

Status:
Inactive
Doing business as:
Southeastern Neuroscience Institute, PA
Registration:
Mar 7, 1983
Addresses:
3728 Phillips Hwy, Jacksonville, FL 32207
7999 Phillips Hwy, Jacksonville, FL 32257
State ID:
G26683
Business type:
Domestic for Profit Corporation
CEO, Chairmans:
Jacob Green President, Director, CEO, inactive,Carlas Leon-Barth President, inactive,Joseph J. Warner Md CEO, Chairman, inactive
Agent:
Edward C. Akel

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