Healthcare Provider Details

I. General information

NPI: 1154246155
Provider Name (Legal Business Name): CARRIGAN NEUROLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1510 PENMAN RD STE 14
JACKSONVILLE BEACH FL
32250-3744
US

IV. Provider business mailing address

PO BOX 49237
JACKSONVILLE BEACH FL
32240-9237
US

V. Phone/Fax

Practice location:
  • Phone: 904-371-5826
  • Fax: 904-371-8297
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: JULIA DICIOCCIO
Title or Position: OFFICE MANAGER
Credential:
Phone: 904-371-5826