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NPI Code Detail

MEDICARE: DR. AMY HESSLER DO

MEDICARE: DR. AMY HESSLER DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology PhysicianOS19529FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265559389
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY HESSLER DO
Provider Business Mailing Address
First Line : 8823 SAN JOSE BLVD STE 209
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-4288
Country : US
Telephone Number : 904-404-7044
Fax Number : 904-329-2303
Provider Business Practice Location Address
First Line : 8823 SAN JOSE BLVD STE 209
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-4288
Country : US
Telephone Number : 904-404-7044
Fax Number : 904-329-2303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2007
Last Update Date : 04/07/2023

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