FIRST COAST COMMUNITY DEVELOPMENT NPI 1710648316

NPI Information

  • NPI: 1710648316
  • Provider Name: FIRST COAST COMMUNITY DEVELOPMENT
  • Classification: Internal Medicine - 207RI0200X
  • Specialization: Infectious Disease
  • Entity Type: Organization
  • CLIA Number: 10D2252787
  • Address: 525 N NEWNAN ST
    JACKSONVILLE, FL
    ZIP 32202
  • Phone: (904) 379-8383

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NPI Details

FIRST COAST COMMUNITY DEVELOPMENT 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. FIRST COAST COMMUNITY DEVELOPMENT NPI is 1710648316. The provider is registered as an organization entity type.

The provider's business location address is:

525 N NEWNAN ST
JACKSONVILLE, FL
ZIP 32202-121
Phone: (904) 379-8383
Fax: (904) 358-5618

The provider's authorized official is Charlie Griffin .
The authorized official title is Ceo/president and has the following contact phone number (904) 866-7483.

The CLIA number assigned to this NPI record is 10D2252787 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2022 and was last updated on 6/9/2025.

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
1251B00000XCase ManagementNo
2251S00000XCommunity/Behavioral HealthNo
3251V00000XVoluntary or CharitableNo
4261QH0100XClinic/CenterHealth ServiceNo
5207RI0200XInternal MedicineInfectious DiseaseYes

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: 11/21/2025

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