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CAN COMMUNITY HEALTH INC. NPI 1336716653


NPI Information

NPI: 1336716653
Provider Name: CAN COMMUNITY HEALTH, INC.
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

CLIA Number: 10D2140461

Address:
4615 PHILIPS HWY STE 3
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 508-0710
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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 Interim Ceo & President 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 8/10/2021.


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
1207R00000XInternal MedicineNo
2207Q00000XFamily MedicineNo
3207RI0200XInternal 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1057256020MEDICAIDFLORIDA

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

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.