OrganizationActive
Emerald Intraoperative Neuromonitoring , PLLC
NPI 1548879364 · Clinical Neurophysiology Physician · Jacksonville, FL
Provider details
- NPI number
- 1548879364
- Entity type
- Organization
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelly Mcclintock, Compliance Officer(866) 374-6628
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7643 Gate Pkwy # 104-983
Jacksonville, FL 32256-2893
Phone: (866) 374-6628
Fax: (866) 951-1120
Approximate (ZIP-level) locationGet directions
Mailing address
7643 Gate Pkwy # 104-983
Jacksonville, FL 32256-2893
Registry dates
- Enumerated
- 2020-07-28
- Last updated
- 2022-04-05
- Certified
- 2022-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.