JACKSONVILLE PRIMARY CARE PA – NPI #1104981398
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

JACKSONVILLE PRIMARY CARE PA is a provider located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1104981398 to JACKSONVILLE PRIMARY CARE PA on December 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 15 years ago on Nov 14, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACKSONVILLE PRIMARY CARE PA below.

NPI Profile for
JACKSONVILLE PRIMARY CARE PA

NPI Number
1104981398
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JACKSONVILLE PRIMARY CARE PA
Primary location
6028 BENNETT RD
JACKSONVILLE, FL 32216-5004
Phone: (904) 737-6422 Fax: (904) 730-8144
Mailing address
6028 BENNETT ROAD
JACKSONVILLE, FL 32216
Phone: (904) 737-6422 Fax: (904) 730-8144
Organization Subpart
No
Authorized Official
DENISE VILLAVICENCIO LAZO
VICE PRESIDENT
Phone: (904) 338-9500
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
FL ME0046485

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.