Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emerald Intraoperative Neuromonitoring , PLLC

Organization Clinical Neurophysiology Physician · NPI 1548879364

Emerald Intraoperative Neuromonitoring , PLLC is a Clinical Neurophysiology Physician in Jacksonville, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7643 Gate Pkwy # 104-983
Jacksonville, FL 32256-2893
Phone: (866) 374-6628
Fax: (866) 951-1120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neurophysiology Physician (primary) Taxonomy 2084N0600X

Record details

NPI number1548879364
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly McClintock — Compliance Officer · (866) 374-6628
NPI enumeratedJuly 28, 2020
Last updated in NPPESApril 5, 2022
Certification dateApril 5, 2022
Mailing address7643 Gate Pkwy # 104-983, Jacksonville, FL 32256-2893

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