Eisenhower Jacksonville Group LLC
Eisenhower Jacksonville Group LLC is a Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician in Jacksonville, Florida. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 9
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2671 Huffman BlvdJacksonville, FL 32246-4056
Phone: (734) 677-0070
Fax: (734) 677-0890
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|---|
| Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | Taxonomy 2081P0301X |
| Case Management Agency | Taxonomy 251B00000X |
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | Taxonomy 320600000X |
| Physical Disabilities Residential Treatment Facility | Taxonomy 320700000X |
| Mental Illness Community Based Residential Treatment Facility | Taxonomy 320800000X |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X |
| Psychiatric Residential Treatment Facility | Taxonomy 323P00000X |
Record details
| NPI number | 1417494485 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Moriah Incoorporated |
| Authorized official | Ann Pendley — President · (734) 677-0070 |
| NPI enumerated | January 27, 2017 |
| Last updated in NPPES | September 28, 2021 |
| Certification date | September 28, 2021 |
| Mailing address | 2671 Huffman Blvd, Jacksonville, FL 32246-4056 |
Other providers in Jacksonville
-
Mark A Livecchi, MD
15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 · (904) 456-8297
-
Dr. Prabhu Dutt Tewari, MD
3599 University Blvd S, Jacksonville, FL 32216-4252 · (904) 345-7600