MED-CARE MD PA (NPI# 1750536215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750536215 |
| Entity Type | Organization |
| Organization Name | MED-CARE MD PA |
| Practice Address |
3661 Crown Point Ct Ste A Jacksonville FL 32257-5967 |
| Mailing Address |
13105 Cricket Cove Rd N Jacksonville FL 32224-8405 |
| Practice Telephone | 9048805220 |
| Mailing Telephone | 9048805220 |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2010-02-08 |
| Authorized Official Name | DR. ANANTHY NALLAPILLAI (PRESIDENT) |
| Authorized Official Telephone | 9048805220 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
ME0071493 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
3661 CROWN POINT CT STE A |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32257-5967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023198009 | Ananthy Nallapillai | Internal Medicine | 3661 Crown Point Ct, Ste A, Jacksonville, FL 32257-5967 | 2006-10-16 |
| 1407377534 | Better Health Support Services LLC | Community/Behavioral Health | 3661 Crown Point Ct, Jacksonville, FL 32257-5967 | 2017-06-28 |
| 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 | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 |
|---|---|---|---|---|
| 1699322867 | Rdm Professional Services, Inc. | Internal Medicine | 437 Sw Rosemary Dr, Lake City, FL 32024-6715 | 2019-08-22 |
| 1114360831 | Pratik A Patel | Internal Medicine | 8041 Spyglass Hill Rd Ste 102, Melbourne, FL 32940-8559 | 2013-04-11 |
| 1346426178 | Raul M Templonuevo I | Internal Medicine | 5749 Norman H Cutson Dr, Orlando, FL 32821-5532 | 2008-01-10 |
| 1720108467 | Julio Arce | Internal Medicine | 8895 Tanglewood Pl, Apt 423, Tampa, FL 33617-6224 | 2007-03-29 |
| 1356479216 | Inderjit Kaur Bhullar | Internal Medicine | 17919 Simms Rd, Odessa, FL 33556-4758 | 2007-03-01 |
| 1982730016 | Laine Sheppard | Internal Medicine | 250 Brent Ln, Pensacola, FL 32503-2267 | 2007-02-25 |
| 1861540544 | Narendra K Maheshwari Md Pa | Internal Medicine | 601 E Sample Rd Ste 101, Pompano Beach, FL 33064-4443 | 2007-01-08 |
| 1548228265 | Madhavi Uppalapati | Internal Medicine | 1301 S International Pkwy, Suite 1001, Lake Mary, FL 32746-1409 | 2006-05-02 |
| 1114982014 | Rajesh B Dave | Internal Medicine | 6424 Embassy Blvd Ste A, Port Richey, FL 34668-4980 | 2006-04-20 |
| 1306817135 | Gil Emmanuel A Mejia | Internal Medicine | 4102 W Linebaugh Ave, Suite 100, Tampa, FL 33624-5296 | 2006-01-30 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32257 |
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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.