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INTERNAL MEDICINE ASSOCIATES OF JACKSONVILLE P A NPI 1184614166


NPI Information

NPI: 1184614166
Provider Name: INTERNAL MEDICINE ASSOCIATES OF JACKSONVILLE P A
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 10D1012080

Address:
6320 SAINT AUGUSTINE RD
UNIT 12
JACKSONVILLE, FL
ZIP 32217
Phone: (904) 737-6200
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INTERNAL MEDICINE ASSOCIATES OF JACKSONVILLE P A is an internal medicine in Jacksonville, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. INTERNAL MEDICINE ASSOCIATES OF JACKSONVILLE P A NPI is 1184614166. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6320 SAINT AUGUSTINE RD
UNIT 12
JACKSONVILLE, FL
ZIP 32217-800
Phone: (904) 737-6200
Fax: (904) 737-6001

The provider's authorized official is Vadim Lev Madfis .
The authorized official title is President and has the following contact phone number (904) 737-6200.

The CLIA number assigned to this NPI record is 10D1012080 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/21/2005 and was last updated on 4/14/2009.


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 MedicineNo
2207R00000XInternal MedicineYes

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: 11/14/2023

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