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ATLANTIC FAMILY MEDICAL CENTER OF JACKSONVILLE PL NPI 1699872812


NPI Information

NPI: 1699872812
Provider Name: ATLANTIC FAMILY MEDICAL CENTER OF JACKSONVILLE PL
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
13155 ATLANTIC BLVD
JACKSONVILLE, FL
ZIP 32225
Phone: (904) 221-2222
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ATLANTIC FAMILY MEDICAL CENTER OF JACKSONVILLE PL 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. ATLANTIC FAMILY MEDICAL CENTER OF JACKSONVILLE PL NPI is 1699872812. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13155 ATLANTIC BLVD
JACKSONVILLE, FL
ZIP 32225-125
Phone: (904) 221-2222
Fax: (904) 221-2024

The provider's authorized official is William I Schwartz .
The authorized official title is Medical Director and has the following contact phone number (904) 221-2222.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 4/20/2008.


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 MedicineYes

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
145512OTHERFLORIDABLUE CROSS GROUP NUMBER
2=========OTHERFLORIDATRICARE GROUP NUMBER
3K0967MEDICARE ID-TYPE UNSPECIFIEDFLORIDAGROUP NUMBER

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.