ACE MEDICAL LLC (NPI# 1801313788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801313788 |
| Entity Type | Organization |
| Organization Name | ACE MEDICAL LLC |
| Practice Address |
3450 Dunn Ave Ste 302 Jacksonville FL 32218-6427 |
| Mailing Address |
9471 Baymeadows Rd Ste 405 Jacksonville FL 32256-7937 |
| Practice Telephone | 9043291904 |
| Practice Fax Number | 9043291905 |
| Mailing Telephone | 9042383752 |
| Mailing Fax Number | 9045139250 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-12-28 |
| Authorized Official Name | DIANA M CORDERO (OWNER/PRESIDENT) |
| Authorized Official Telephone | 9042383752 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NSC | 7635710003 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609393594 | Ace Medical LLC | Clinic/Center | 665 State Road 207 Ste 101b, St Augustine, FL 32084-5939 | 2017-08-23 |
| 1154742328 | Ace Medical LLC | Prosthetic/Orthotic Supplier | 2702 1st Ave, Huntington, WV 25702-1340 | 2013-12-13 |
| 1427237262 | Ace Medical LLC | Durable Medical Equipment & Medical Supplies | 1110 W Evans St, Florence, SC 29501-3320 | 2007-10-29 |
| 1053838946 | Ace Medical LLC | Clinic/Center | 112 W Highland Blvd, Inverness, FL 34452-4819 | 2017-08-23 |
| 1265772370 | Ace Medical LLC | Psychologist | 3720 Beach Blvd, Jacksonville, FL 32207-3814 | 2013-02-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ACE MEDICAL LLC | 2702 1st Ave, Huntington, WV 25702-1340 |
| Street Address |
3450 DUNN AVE STE 302 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32218-6427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
| 1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
| 1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
| 1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
| 1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
| 1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
| 1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
| 1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
| Find all providers in zip 32218 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1255336350 | Walter R Gilbert Jr Md Pa | Clinic/Center | 3 Shircliff Way, Ste 122, Jacksonville, FL 32204-4757 | 2005-06-15 |
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| 1083229017 | Infinite Rehabilitation and Wellness Center, LLC | Clinic/Center | 7450 103rd St, Jacksonville, FL 32210-6780 | 2020-09-15 |
| 1801407291 | Patient Focus Physicians Associates Inc | Clinic/Center | 101 Century 21 Dr, Jacksonville, FL 32216-8115 | 2020-08-11 |
| 1093331456 | Jax Health LLC | Clinic/Center | 4540 Southside Blvd Ste 401, Jacksonville, FL 32216-5488 | 2020-06-22 |
| 1902439169 | Wilmington Health Pllc | Clinic/Center | 612 College St, Jacksonville, NC 28540-5311 | 2020-02-17 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32218 |
Please comment or provide details below to improve the information on ACE MEDICAL 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.