LYMPHEDEMA CARE CENTER OF NORTH FLORIDA, INC. (NPI# 1487891859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487891859 |
| Entity Type | Organization |
| Organization Name | LYMPHEDEMA CARE CENTER OF NORTH FLORIDA, INC. |
| Other Organization Name | KIDS THERAPY KORNER |
| Practice Address |
8563 Argyle Business Loop Suite #2 Jacksonville FL 32244-6668 |
| Practice Telephone | 9043750830 |
| Practice Fax Number | 8778114031 |
| Mailing Telephone | 9043750830 |
| Mailing Fax Number | 8778114031 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2011-09-28 |
| Authorized Official Name | MS. MARIANELA N/A MARTINEZ (OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 9043750830 |
| Authorized Official Credential | OTR/L, CSIT, CLT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | OT11418 | FL | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003444400 | 05 | |
| FL | 8899886-00FL | 05 | |
| FL | MEDICARE PTAN | CD935A | 01 |
| Other Name | Type Code |
|---|---|
| Kids Therapy Korner | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396062451 | Lymphedema Care Center of North Florida, Inc. | Durable Medical Equipment & Medical Supplies | 8563 Argyle Business Loop, Suite #2, Jacksonville, FL 32244-6668 | 2010-04-29 |
| Street Address |
8563 ARGYLE BUSINESS LOOP SUITE #2 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32244-6668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942453105 | Access Physical Therapy, LLC | Physical Therapist | 8563 Argyle Business Loop, Suite 2, Jacksonville, FL 32244-7703 | 2008-10-31 |
| 1396106621 | Access Physical Therapy LLC | Clinic/Center | 8563 Argyle Business Loop, Suite 2, Jacksonville, FL 32244-6668 | 2016-03-15 |
| 1265892590 | John Paul Conroy | Occupational Therapist | 8563 Argyle Business Loop, Suite #2, Jacksonville, FL 32244-6668 | 2016-02-29 |
| 1174919849 | Charlene Joy Flores | Physical Therapy Assistant | 8563 Argyle Business Loop, Suite 2, Jacksonville, FL 32244 | 2015-04-09 |
| 1346636016 | David Inabinette | Physical Therapy Assistant | 8563 Argyle Business Loop, Suite 2, Jacksonville, FL 32244 | 2015-04-09 |
| 1164823530 | Jose D. Lucero IIi | Physical Therapist | 8563 Argyle Business Loop, Suite 2, Jacksonville, FL 32244 | 2014-09-04 |
| 1861891897 | Hanz K Tabora | Physical Therapist | 8563 Argyle Business Loop, Suite 2, Jacksonville, FL 32244-6668 | 2014-08-14 |
| 1689951402 | Donna Smith | Clinic/Center | 8563 Argyle Business Loop, Suite 2, Jacksonville, FL 32244-6668 | 2011-11-08 |
| 1396062451 | Lymphedema Care Center of North Florida, Inc. | Durable Medical Equipment & Medical Supplies | 8563 Argyle Business Loop, Suite #2, Jacksonville, FL 32244-6668 | 2010-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013478247 | Saul Medina | Contractor | 8421 Cheswick Oak Ave, Jacksonville, FL 32244 | 2019-03-29 |
| 1447765748 | Sudduth Vision Pllc | Optometrist | 8000 Parramore Rd., Jacksonville, FL 32244 | 2017-12-08 |
| 1144735556 | Costco Wholesale Corporation | Pharmacy | 8000 Parramore Rd, Jacksonville, FL 32244 | 2017-12-07 |
| 1003287814 | South Jacksonville Dental Pllc | Dentist | 8440 Blanding Blvd, Jacksonville, FL 32244 | 2015-10-20 |
| 1326444340 | Laurie Lynn Scheid | Nurse Practitioner | 7855 Argyle Forest Blvd Ste 601, Jacksonville, FL 32244 | 2014-11-18 |
| 1114322260 | Candy Sharon Lucero | Occupational Therapist | 8563-2 Argyle Business Loop, Jacksonville, FL 32244 | 2014-10-31 |
| 1780959817 | Senior Helpers | In Home Supportive Care | 6327 Argyle Forest Blvd, Suite 3, Jacksonville, FL 32244 | 2012-03-22 |
| 1093831505 | Eduardo R Paat Sr. | Marriage & Family Therapist | 63394 Argyle Forest Blvd, Jacksonville, FL 32244 | 2007-03-22 |
| 1760524060 | Lauren Claxton Shivers | Nurse Practitioner | 8351 Westport Road, Jacksonville, FL 32244 | 2007-02-13 |
| 1427113968 | John F Bibb | Dentist | 6001 4 Argyle Forest Blvd, Jacksonville, FL 32244 | 2006-12-26 |
| Find all providers in zip 32244 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891188173 | Julington Creek Pediatrics | Preferred Provider Organization | 774 State Road 13 Ste 6, Jacksonville, FL 32259-3815 | 2015-03-11 |
| 1760881163 | First Coast Medical Associates LLC | Preferred Provider Organization | 13241 Bartram Park Blvd Unit 413, Jacksonville, FL 32258-5237 | 2014-08-21 |
| 1891031910 | Mandarin Family Medicine, P.a. | Preferred Provider Organization | 12276-210 San Jose Blvd, Jacksonville, FL 32223 | 2012-12-18 |
| 1124195573 | Lakeshore Medical Care Center, Inc | Preferred Provider Organization | 4616 San Juan Ave, Jacksonville, FL 32210-3228 | 2006-11-29 |
| 1487737441 | Midtown Dental of Jacksonville | Preferred Provider Organization | 2801 Saint Johns Bluff Rd S, Suite 1, Jacksonville, FL 32246-3761 | 2006-10-23 |
| 1609241918 | Lysandro O. Tapnio Dmd Pa | Preferred Provider Organization | 9272 Arlington Expy, Jacksonville, FL 32225-8212 | 2015-12-11 |
| 1306189683 | T & R Inc | Preferred Provider Organization | 4131 University Blvd S Ste 4a, Jacksonville, FL 32216-4322 | 2013-04-04 |
| 1922361732 | Psi Family Services, Inc. | Preferred Provider Organization | 3890 Dunn Ave, 1104, Jacksonville, FL 32218-6428 | 2012-06-18 |
| 1932475167 | Medsports Promassage | Preferred Provider Organization | 3491 Pall Mall Dr, Suite 104, Jacksonville, FL 32257-5449 | 2012-04-02 |
| 1992019640 | Live Well M.d. | Preferred Provider Organization | 11512 Lake Mead Ave, Building 521, Jacksonville, FL 32256-9680 | 2010-08-04 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32244 |
Please comment or provide details below to improve the information on LYMPHEDEMA CARE CENTER OF NORTH FLORIDA, INC..
| 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.