FLORIDA CENTER FOR INFECTIOUS DISEASES, INC. (NPI# 1316217896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316217896 |
| Entity Type | Organization |
| Organization Name | FLORIDA CENTER FOR INFECTIOUS DISEASES, INC. |
| Practice Address |
14810 Old Saint Augustine Rd Suite 201 Jacksonville FL 32258-2451 |
| Mailing Address |
5055 Monroe Forest Dr Jacksonville FL 32257-2204 |
| Practice Telephone | 9042920863 |
| Practice Fax Number | 9042120884 |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2012-02-16 |
| Authorized Official Name | DESIREE D CLARK (PRESIDENT) |
| Authorized Official Telephone | 9043221140 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME96311 | FL | Other Service Providers |
| Street Address |
14810 OLD SAINT AUGUSTINE RD SUITE 201 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32258-2451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174581052 | Dan-tam Thi Tran | Pediatrics | 14810 Old Saint Augustine Rd, Suite 106, Jacksonville, FL 32258 | 2006-05-02 |
| 1346702305 | Kristi Lynn Swanson | Registered Nurse | 14810 Old Saint Augustine Rd, Jacksonville, FL 32258-2451 | 2019-04-01 |
| 1902253230 | Maria Cooper | Dermatology | 14810 Old Saint Augustine Rd, Jacksonville, FL 32258-2451 | 2016-05-17 |
| 1497118160 | Physicians Group Services Pa | Family Medicine | 14810 Old Saint Augustine Rd, Suite 207, Jacksonville, FL 32258-2451 | 2016-03-31 |
| 1972979888 | Innervate Neurology Clinic, Inc. | Physical Medicine & Rehabilitation | 14810 Old Saint Augustine Rd, Suite 207b, Jacksonville, FL 32258-2451 | 2015-08-14 |
| 1770987836 | Frank W. Bowden, IIi, Md, Facs, Pa | Optometrist | 14810 Old Saint Augustine Rd, Suite 103, Jacksonville, FL 32258-2451 | 2014-10-20 |
| 1720321946 | Rustin Buffington | Pediatrics | 14810 Old Saint Augustine Rd, Suite 106, Jacksonville, FL 32258-2451 | 2013-04-05 |
| 1356677819 | Baptist Primary Care Inc | Pediatrics | 14810 Old Saint Augustine Rd, Suite 106, Jacksonville, FL 32258-2466 | 2009-10-19 |
| 1942430285 | Leavitt Medical Associates of Florida Inc | Dermatology | 14810 Old Saint Augustine Rd, Suite 100, Jacksonville, FL 32258-2466 | 2009-07-21 |
| 1255474359 | Sunwook Kim Ashchi | Obstetrics & Gynecology | 14810 Old Saint Augustine Rd, Jacksonville, FL 32258 | 2007-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
| 1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
| 1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
| 1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
| 1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
| 1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
| 1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
| 1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
| Find all providers in zip 32258 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1255957643 | Rhonda D Smith Roberts | Specialist | 2754 Sam Hardwick Blvd, Jacksonville, FL 32246-3892 | 2020-06-22 |
| 1437620986 | Nicole Azaan | Specialist | 2301 Indian Dr Apt 29c, Jacksonville, NC 28546-5258 | 2018-12-10 |
| 1598251910 | Allionz LLC | Specialist | 2386 Dunn Ave Ste 109, Jacksonville, FL 32218-4751 | 2018-07-09 |
| 1093236531 | Leah F Friedman | Specialist | 1650 Prudential Dr Ste 102, Jacksonville, FL 32207-8148 | 2017-07-06 |
| 1609301993 | Oakleaf Injury and Pain Center LLC | Specialist | 9526 Argyle Forest Blvd, B-6, Jacksonville, FL 32222-2825 | 2017-04-25 |
| 1982070140 | Riverside Spine & Pain Physicians, LLC | Specialist | 13133 Professional Dr, Suite 200, Jacksonville, FL 32225-7122 | 2015-08-11 |
| 1235525239 | Elizabeth Wehr | Specialist | 319 1st Ave N Apt 1a, Jacksonville, FL 32250-5500 | 2015-04-07 |
| 1053705236 | Orthowilmington, Pa | Specialist | 3382 Henderson Dr, Jacksonville, NC 28546-5230 | 2015-03-25 |
| 1295156941 | Southeast Orthopedic Specialists, Inc. | Specialist | 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256-5004 | 2013-12-26 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32258 |
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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.