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ACE MEDICAL GROUP LLC NPI 1710654199


NPI Information

NPI: 1710654199
Provider Name: ACE MEDICAL GROUP LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 10D2112272

Address:
6428 BEACH BLVD
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 475-2039
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ACE MEDICAL GROUP LLC 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. ACE MEDICAL GROUP LLC NPI is 1710654199. The provider is registered as an organization entity type.

The provider's business location address is:

6428 BEACH BLVD
JACKSONVILLE, FL
ZIP 32216-813
Phone: (904) 475-2039
Fax: (904) 330-0668

The provider's authorized official is Joseph Ellyson .
The authorized official title is Chief Operations Officer and has the following contact phone number (904) 475-2039.

The CLIA number assigned to this NPI record is 10D2112272 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2021 and was last updated on 8/24/2021.


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
1261QM1300XClinic/CenterMulti-SpecialtyNo
2363A00000XPhysician AssistantNo
3363LA2200XNurse PractitionerAdult HealthNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
5207Q00000XFamily MedicineNo
6207R00000XInternal 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

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.