ONSITE CONCIERGE MEDICINE GROUP LLC (NPI# 1356970065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356970065 |
| Entity Type | Organization |
| Organization Name | ONSITE CONCIERGE MEDICINE GROUP LLC |
| Practice Address |
8773 Perimeter Park Ct Jacksonville FL 32216-1165 |
| Mailing Address |
12403 Cadley Cir Jacksonville FL 32219-1862 |
| Practice Telephone | 7042587118 |
| Mailing Telephone | 7042587118 |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2020-04-04 |
| Authorized Official Name | MR. FERNANDO LEVAR GANT (PRESIDENT/OWNER) |
| Authorized Official Telephone | 7042587118 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
8773 PERIMETER PARK CT |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-1165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861498131 | Marc Benjamin Blatt | Internal Medicine | 8773 Perimeter Park Ct, Jacksonville, FL 32216-1165 | 2005-06-22 |
| 1053963793 | Stephanie Ann May | Nurse Practitioner | 8773 Perimeter Park Ct, Jacksonville, FL 32216-1165 | 2019-07-12 |
| 1184195893 | Bryan Silva | Nurse Practitioner | 8773 Perimeter Park Ct, Jacksonville, FL 32216-1165 | 2018-12-07 |
| 1396282620 | Margaret E Seymour Md Pa | Surgery | 8773 Perimeter Park Ct, Jacksonville, FL 32216-1165 | 2017-01-25 |
| 1427590470 | Carneisha Myles | Nurse Practitioner | 8773 Perimeter Park Ct, Jacksonville, FL 32216-1165 | 2016-11-08 |
| 1649722604 | Marcus J Cox Md LLC | Internal Medicine | 8773 Perimeter Park Ct, Jacksonville, FL 32216-1165 | 2016-10-25 |
| 1922450741 | Melissa Faye Townsend | Registered Nurse | 8773 Perimeter Park Ct, Jacksonville, FL 32216-1165 | 2016-07-05 |
| 1972972644 | Felicia Conrad | Chiropractor | 8773 Perimeter Park Ct, Jacksonville, FL 32216-1165 | 2015-09-23 |
| 1174863989 | Superior Physical Medicine LLC | Durable Medical Equipment & Medical Supplies | 8773 Perimeter Park Ct, Jacksonville, FL 32216-1165 | 2013-02-15 |
| 1235478272 | Tracy Lynne Beluscak | Nurse Practitioner | 8773 Perimeter Park Ct, Jacksonville, FL 32216-1165 | 2013-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680220 | Florida Injury & Regenerative Medicine, Pllc | General Practice | 8640 Philips Hwy Ste 10, Jacksonville, FL 32256-1208 | 2020-05-15 |
| 1689296808 | Sajid Khan Md LLC | General Practice | 4600 Touchton Rd E Ste 1150, Jacksonville, FL 32246-1542 | 2020-05-11 |
| 1396392767 | Yurelsy Galvez Ricardo | General Practice | 725 Middle Branch Way, Jacksonville, FL 32259-6201 | 2019-08-21 |
| 1639721772 | Deborah Brabham | General Practice | 10990 Lydia Estates Dr E, Jacksonville, FL 32218-6940 | 2019-07-09 |
| 1851868459 | Nursing On Demand Inc | General Practice | 1260 Mcduff Ave S # 3, Jacksonville, FL 32205-8030 | 2018-11-01 |
| 1295202984 | Summit Integrative Health, LLC | General Practice | 12627 San Jose Blvd Ste 305, Jacksonville, FL 32223-8639 | 2018-10-31 |
| 1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
| 1255859641 | Mcgowan Medical Centers, Pa | General Practice | 3021 N Main St, Jacksonville, FL 32206-2122 | 2017-09-06 |
| 1972953339 | Colin Kenneth Kelly | General Practice | Bureau of Medicine & Surgery Detachment, Nas Jacksonville, Building 554, Jacksonville, FL 32212 | 2016-06-16 |
| 1700247863 | Emily Calhoun | General Practice | 554 Kelly Ln, Jacksonville, FL 32234-3049 | 2016-03-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on ONSITE CONCIERGE MEDICINE GROUP LLC.
| 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.