JAX VISITING MEDICAL PROVIDERS LLC (NPI# 1679931372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679931372 |
| Entity Type | Organization |
| Organization Name | JAX VISITING MEDICAL PROVIDERS LLC |
| Practice Address |
9957 Moorings Dr 204 Jacksonville FL 32257-2412 |
| Mailing Address |
1600 Sheffield Park Ct Jacksonville FL 32225-2667 |
| Practice Telephone | 9045134947 |
| Practice Fax Number | 9045134948 |
| Mailing Telephone | 9043822608 |
| Mailing Fax Number | 9042219408 |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |
| Authorized Official Name | DR. LILIAN P OBRERO-GINES (PHYSICIAN) |
| Authorized Official Telephone | 9045134947 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
9957 MOORINGS DR 204 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32257-2412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770630709 | Lilian P Obrero Gines | Family Medicine | 9957 Moorings Dr, 204, Jacksonville, FL 32257-2412 | 2007-01-04 |
| 1518352806 | Heather Fisse-repole | Counselor | 9957 Moorings Dr, Ste. 403, Jacksonville, FL 32257-2412 | 2015-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835842 | Majdoline Kasera | Pharmacist | 11250-4 Old St Augustine Rd, Jacksonville, FL 32257 | 2019-08-06 |
| 1386203859 | Jetaime Y Lewis | Physical Therapist | 9765 San Jose Blvd Ste 6, Jacksonville, FL 32257 | 2019-06-10 |
| 1437622107 | Michelle Espanol Garcia | Nurse Practitioner | 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 | 2019-01-05 |
| 1982172995 | Pacifica Augustine Road LLC | Alzheimer Center (Dementia Center) | 10660 Old Augustine Road, Jacksonville, FL 32257 | 2018-11-07 |
| 1659860492 | Andrea Leigh Miller | Social Worker | 10416 Spotted Fawn Lane, Jacksonville, FL 32257 | 2018-05-08 |
| 1376049965 | Stephanie Lynne Jordon | Nurse Practitioner | 9765 San Jose Blvd Ste 102, Jacksonville, FL 32257 | 2018-04-02 |
| 1205335619 | Annetta Aileen Brown | Respite Care | 4901 Sunbeam Rd Apt 1016, Jacksonville, FL 32257 | 2018-02-12 |
| 1841714888 | Freda Stevens | Counselor | 9521 Shellie Road Unit 13, Jacksonville, FL 32257 | 2017-08-01 |
| 1659821353 | Jennifer Lavoro | Acupuncturist | 11259 Thomaston Pl, Jacksonville, FL 32257 | 2016-10-06 |
| 1225488232 | Avenues Dental LLC | Dentist | 6144 Gazebo Park Place South, Ste 210, Jacksonville, FL 32257 | 2016-06-21 |
| Find all providers in zip 32257 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with 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. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306107099 | Baptist Agewell Physicians Inc | Family Medicine | 3563 Philips Hwy Ste 101, Jacksonville, FL 32207 | 2012-05-30 |
| 1316273535 | Zhi Yu, Md, Pllc | Family Medicine | 4221 Stacey Rd E, Jacksonville, FL 32250-2100 | 2009-10-22 |
| 1306092549 | Coastal Mobile Medical Doctor, Pa | Family Medicine | 203 Stagecoach Dr, Jacksonville, NC 28546-9617 | 2008-08-07 |
| 1417065236 | Narender D Arcot | Family Medicine | 31 Office Park Dr, Jacksonville, NC 28546-3219 | 2006-08-29 |
| 1679513477 | David J Samara | Family Medicine | 6555 Chester Ave Ste 1, Jacksonville, FL 32217-2279 | 2006-06-08 |
| 1518934272 | Leonardo Sison Delrosario | Family Medicine | 225 W Ashley St, Jacksonville, FL 32202-4141 | 2006-03-01 |
| 1770575052 | Belton Craig Ray | Family Medicine | 2627 Riverside Ave, Jacksonville, FL 32204-4712 | 2005-08-22 |
| 1124024310 | Eugene Rawson Griffin IIi | Family Medicine | 3627 University Blvd S, Ste 615, Jacksonville, FL 32216-7401 | 2005-06-22 |
| 1023595105 | Baptist Agewell Physicians Inc | Family Medicine | 841 Prudential Dr Ste 180, Jacksonville, FL 32207-8350 | 2018-07-23 |
| 1831534874 | Christina Bungo | Family Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2013-05-03 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32257 |
Please comment or provide details below to improve the information on JAX VISITING MEDICAL PROVIDERS 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.