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OAK HILL FAMILY CARE CENTER INC. NPI 1235475575


NPI Information

NPI: 1235475575
Provider Name: OAK HILL FAMILY CARE CENTER INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D1010594

Address:
4760 BLANDING BLVD
JACKSONVILLE, FL
ZIP 32210
Phone: (904) 778-4448
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OAK HILL FAMILY CARE CENTER INC. is a family medicine in Jacksonville, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OAK HILL FAMILY CARE CENTER INC. NPI is 1235475575. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4760 BLANDING BLVD
JACKSONVILLE, FL
ZIP 32210-327
Phone: (904) 778-4448
Fax: (904) 778-3634

The provider's authorized official is Amanda Climacosa Zaide .
The authorized official title is President/physician and has the following contact phone number (904) 778-4448.

The CLIA number assigned to this NPI record is 10D1010594 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2012 and was last updated on 12/13/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineME33447FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
112899MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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