RELIANCE MEDICAL ASSOCIATES OF JAX LLC (NPI# 1023522315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023522315 |
| Entity Type | Organization |
| Organization Name | RELIANCE MEDICAL ASSOCIATES OF JAX LLC |
| Practice Address |
630 Jacksonville Dr Jacksonville Beach FL 32250-3814 |
| Mailing Address |
514 Heron Landing Rd Saint Johns FL 32259-7074 |
| Practice Telephone | 9044350799 |
| Practice Fax Number | 9044350797 |
| Mailing Telephone | 3215063925 |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2018-04-17 |
| Authorized Official Name | DR. VISHAL C PATEL (PHYSICIAN) |
| Authorized Official Telephone | 3215063925 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | ME121788 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | ME121788 | FL | Allopathic & Osteopathic Physicians |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ME121788 | FL | Ambulatory Health Care Facilities |
| Y | 207R00000X | Internal Medicine | ME121788 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8081 Philips Hwy, Jacksonville, FL 322567464 | 9044350799 | 9044350797 |
| 904 Park Ave, Orange Park, FL 320734120 | 9044350799 | 9044350797 |
| Street Address |
630 JACKSONVILLE DR |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250-3814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649272295 | Gary Winfield | Family Medicine | 630 Jacksonville Dr, Jacksonville Beach, FL 32250-3814 | 2005-08-12 |
| 1184794851 | John Goetze Physical Therapy, Inc | Physical Therapist | 630 Jacksonville Dr, Jacksonville Beach, FL 32250-3814 | 2006-11-09 |
| 1942311550 | Gary L. Winfield, M.d., P.a. | Family Medicine | 630 Jacksonville Dr, Jacksonville Beach, FL 32250-3814 | 2006-08-31 |
| 1649387887 | Amy Annelle Mccoy | Family Medicine | 630 Jacksonville Dr, Jacksonville Beach, FL 32250-3814 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245599497 | Stephen E. Grable, M.d., P.a. | Internal Medicine | 1504 Roberts Dr, Jacksonville Beach, FL 32250-3222 | 2012-05-09 |
| 1255610473 | Daniel A Kobrinski | Internal Medicine | 1375 Roberts Dr Ste 103, Jacksonville Beach, FL 32250-3209 | 2011-08-04 |
| 1770782740 | Andrea Schaeffer--pautz | Internal Medicine | 485 6th Ave N, Jacksonville Beach, FL 32250-5727 | 2007-07-11 |
| 1023212628 | Anne Thu-anh Bui | Internal Medicine | 50 3rd Ave S Apt 803, Jacksonville Beach, FL 32250-6780 | 2007-06-14 |
| 1710992490 | Graciela Diez-hoeck | Internal Medicine | 1577 Roberts Dr Ste 224, Credentialing Department, Jacksonville Beach, FL 32250-3265 | 2006-07-30 |
| 1003837659 | Stephen E Grable | Internal Medicine | 1504 Roberts Drive, Jacksonville Beach, FL 32250 | 2006-07-21 |
| 1639126907 | North Florida Medical Clinic Inc | Internal Medicine | 1361 13th Ave S Ste 150, Jacksonville Beach, FL 32250-3235 | 2006-05-30 |
| 1457328726 | Robert T. Bass Jr. | Internal Medicine | 570 Jacksonville Dr, Ufjp Beaches Liver and Digestive, Jacksonville Beach, FL 32250-3813 | 2006-03-04 |
| 1801884119 | Sean Shahla | Internal Medicine | 1141 Beach Blvd, Jacksonville Beach, FL 32250-3445 | 2005-10-11 |
| 1932105434 | Anthony L Capasso | Internal Medicine | 1351 13th Ave S, Jacksonville Beach, FL 32250-3234 | 2005-06-21 |
| Find all providers in JACKSONVILLE BEACH | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.