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FIRST COAST INFECTIOUS DISEASE CONSULTANTS LLC NPI 1740477843


NPI Information

NPI: 1740477843
Provider Name: FIRST COAST INFECTIOUS DISEASE CONSULTANTS LLC
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

CLIA Number: 10D2161823

Address:
2122 UNIVERSITY BLVD S
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 398-5614
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FIRST COAST INFECTIOUS DISEASE CONSULTANTS LLC 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 INFECTIOUS DISEASE CONSULTANTS LLC NPI is 1740477843. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2122 UNIVERSITY BLVD S
JACKSONVILLE, FL
ZIP 32216-937
Phone: (904) 398-5614
Fax: (904) 398-5617

The provider's authorized official is Sebastian R Stanciu .
The authorized official title is President and has the following contact phone number (904) 398-5614.

The CLIA number assigned to this NPI record is 10D2161823 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/2/2007 and was last updated on 6/28/2016.


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
1207RI0200XInternal MedicineInfectious DiseaseME89939FLORIDAYes

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
103409YMEDICARE PIN
2I39028MEDICARE UPIN
3273691800MEDICAIDFLORIDA

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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