PHYSICIAN ASSOCIATES OF JACKSONVILLE, PA – NPI #1750448163
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Health Care Provider Taxonomy Code for Internal Medicine

PHYSICIAN ASSOCIATES OF JACKSONVILLE, PA is a provider located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1750448163 to PHYSICIAN ASSOCIATES OF JACKSONVILLE, PA on January 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 14 years ago on Feb 06, 2012. 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 PHYSICIAN ASSOCIATES OF JACKSONVILLE, PA below.

NPI Profile for
PHYSICIAN ASSOCIATES OF JACKSONVILLE, PA

NPI Number
1750448163
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
PHYSICIAN ASSOCIATES OF JACKSONVILLE, PA
Primary location
2700 RIVERSIDE AVENUE
SUITE#14
JACKSONVILLE, FL 32205
Phone: (904) 389-3770 Fax: (904) 389-3703
Mailing address
PO BOX 54246
JACKSONVILLE, FL 32245
Phone: (904) 389-3770 Fax: (904) 389-3703
Organization Subpart
No
Authorized Official
NAG RAVICHANDRAN
ADMINISTRATOR
Phone: (904) 389-3770
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
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)		 FL ME741014

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.