MEDICARE: GEORGE L ARMSTRONG LCSW

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
1	1041C0700X	Clinical Social Worker	SW2823	FL

General Provider Information

NPI Number	:	1558348367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE L ARMSTRONG LCSW

Provider Business Mailing Address
First Line	:	PO BOX 44230
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32231-4230
Country	:	US
Telephone Number	:	904-376-3800
Fax Number	:	904-376-3998

Provider Business Practice Location Address
First Line	:	820 PRUDENTIAL DR STE 510
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8207
Country	:	US
Telephone Number	:	904-376-3800
Fax Number	:	904-202-2436

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	04/09/2018

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