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

Southeastern Neuroscience Institute PA

Organization Specialist · NPI 1700099017

Southeastern Neuroscience Institute PA is a Specialist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3728 Phillips Hwy Ste 31
Jacksonville, FL 32207-9300
Phone: (904) 346-0707
Fax: (904) 396-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME0013636 (FL)
Specialist Taxonomy 174400000X · Licence ME 59265 (FL)
Specialist Taxonomy 174400000X · Licence ME45606 (FL)

Record details

NPI number1700099017
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Green — Ceo, Neurologist · (904) 346-0707
NPI enumeratedMay 7, 2007
Last updated in NPPESMay 20, 2008
Mailing address3728 Phillips Hwy, Suite 32, Jacksonville, FL 32207-9300

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