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CORNERSTONE FAMILY MEDICINE LLC NPI 1437590536


NPI Information

NPI: 1437590536
Provider Name: CORNERSTONE FAMILY MEDICINE LLC

Other Name: CORNERSTONE FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2210033

Address:
9310 OLD KINGS RD SOUTH
UNIT 1303
JACKSONVILLE, FL
ZIP 32257
Phone: (904) 900-3472
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CORNERSTONE FAMILY MEDICINE LLC 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. CORNERSTONE FAMILY MEDICINE LLC NPI is 1437590536. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Cornerstone Family Medicine.

The provider's business location address is:

9310 OLD KINGS RD SOUTH
UNIT 1303
JACKSONVILLE, FL
ZIP 32257-225
Phone: (904) 900-3472
Fax: (904) 503-2373

The provider's authorized official is Anabel Carloto Castro .
The authorized official title is Physician and has the following contact phone number (904) 900-3472.

The CLIA number assigned to this NPI record is 10D2210033 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2013 and was last updated on 8/12/2021.


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 MedicineME101546FLORIDAYes

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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