CAN COMMUNITY HEALTH INC. NPI 1336716653

NPI Information

  • NPI: 1336716653
  • Provider Name: CAN COMMUNITY HEALTH, INC.
  • Classification: Internal Medicine - 207RI0200X
  • Specialization: Infectious Disease
  • Entity Type: Organization
  • CLIA Number: 10D2140461
  • Address: 4615 PHILIPS HWY STE 3
    JACKSONVILLE, FL
    ZIP 32207
  • Phone: (904) 508-0710

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NPI Details

CAN COMMUNITY HEALTH, INC. is an infectious disease internal medicine in Jacksonville, FL. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. CAN COMMUNITY HEALTH, INC. NPI is 1336716653. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4615 PHILIPS HWY STE 3
JACKSONVILLE, FL
ZIP 32207-541
Phone: (904) 508-0710
Fax: (855) 299-0710

The provider's authorized official is Rishi B Patel .
The authorized official title is President & Ceo and has the following contact phone number (941) 300-4440.

The CLIA number assigned to this NPI record is 10D2140461 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2021 and was last updated on 1/30/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
3363LW0102XNurse PractitionerWomen's HealthNo
4207R00000XInternal MedicineNo
5101YM0800XCounselorMental HealthNo
61041C0700XSocial WorkerClinicalNo
7207Q00000XFamily MedicineNo
8207RI0200XInternal MedicineInfectious DiseaseYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1057256020MEDICAIDFLORIDA
221725OTHERFL BCBS GROUP #

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: 3/30/2025

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