Healthcare Provider Details

I. General information

NPI: 1518223965
Provider Name (Legal Business Name): ULYSSES D. FINDLEY, MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2012
Last Update Date: 04/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 BLANDING BLVD
JACKSONVILLE FL
32210-1835
US

IV. Provider business mailing address

1660 BLANDING BLVD
JACKSONVILLE FL
32210-1835
US

V. Phone/Fax

Practice location:
  • Phone: 904-389-3811
  • Fax: 904-389-3821
Mailing address:
  • Phone: 904-389-3811
  • Fax: 904-389-3821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberCH10787
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2081N0008X
TaxonomyNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
License NumberME92179
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code2081N0008X
TaxonomyNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
License NumberME71405
License Number StateFL

VIII. Authorized Official

Name: DR. ULYSSES FINDLEY
Title or Position: CEO
Credential: M.D.
Phone: 904-389-3811