=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073536223
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ULYSSES FINDLEY MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/26/2006
-----------------------------------------------------
Last Update Date | 08/07/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1660 BLANDING BLVD
-----------------------------------------------------
City | JACKSONVILLE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32210-1835
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 904-389-3811
-----------------------------------------------------
Fax | 904-389-3821
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1660 BLANDING BLVD
-----------------------------------------------------
City | JACKSONVILLE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32210-1835
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 904-389-3811
-----------------------------------------------------
Fax | 904-389-3821
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2081N0008X
-----------------------------------------------------
Taxonomy Name | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
-----------------------------------------------------
License Number | ME71405
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------