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 provides Specialist services 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 Not confirmed with CMS for 18 years — call before visiting
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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