FLORIDA PHYSICIAN SPECIALISTS LLC (NPI# 1932680469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932680469 |
Entity Type | Organization |
Organization Name | FLORIDA PHYSICIAN SPECIALISTS LLC |
Other Organization Name | ADVANCED PROSTATE CANCER INSTITUTE |
Practice Address |
7017 A C Skinner Pkwy Jacksonville FL 32256-6932 |
Practice Telephone | 9045206800 |
Practice Fax Number | 9045206801 |
Mailing Telephone | 9045206800 |
Mailing Fax Number | 9045206801 |
Enumeration Date | 2018-08-23 |
Last Update Date | 2018-08-23 |
Authorized Official Name | MEAGHAN COLLEEN LUTZ (CONTROLLER) |
Authorized Official Telephone | 9045206800 |
Is Organization Subpart | Y |
Parent Organization Name | FLORIDA PHYSICIAN SPECIALISTS LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
Other Name | Type Code |
---|---|
Advanced Prostate Cancer Institute | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033544390 | Florida Physician Specialists LLC | Radiology | 7017 A C Skinner Pkwy, Jacksonville, FL 32256-6932 | 2013-09-05 |
1437495868 | Florida Physician Specialists LLC | Urology | 836 Prudential Drive, Suite 1606, Jacksonville, FL 32207-8343 | 2012-12-12 |
1083959563 | Florida Physician Specialists LLC | Urology | 6269 Beach Blvd, Suite 2, Jacksonville, FL 32216-2768 | 2012-12-10 |
1316282478 | Florida Physician Specialists LLC | Urology | 3550 University Blvd S, Suite 202, Jacksonville, FL 32216-4246 | 2012-11-30 |
1932444254 | Florida Physician Specialists LLC | Urology | 1715 Village Way, Orange Park, FL 32073-5263 | 2012-11-28 |
1619221637 | Florida Physician Specialists LLC | Urology | 710 Lomax St, Jacksonville, FL 32204-4004 | 2012-10-29 |
1588917108 | Florida Physician Specialists LLC | Radiology | 710 Lomax St, Suite 1, Jacksonville, FL 32204-4004 | 2012-10-19 |
Street Address |
7017 A C SKINNER PKWY |
City | JACKSONVILLE |
State | FL |
Zip Code | 32256-6932 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033544390 | Florida Physician Specialists LLC | Radiology | 7017 A C Skinner Pkwy, Jacksonville, FL 32256-6932 | 2013-09-05 |
1760021950 | Tessa Davenport Mata | Physician Assistant | 7017 A C Skinner Pkwy, Jacksonville, FL 32256-6932 | 2020-01-05 |
1275172231 | Bayli Briana Beach | Physician Assistant | 7017 A C Skinner Pkwy, Jacksonville, FL 32256-6932 | 2019-12-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
Find all providers in zip 32256 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033626122 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 3059 Edgewood Avenue West, Jacksonville, FL 32209 | 2018-01-10 |
1346757432 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 9422 Arlington Expressway, Jacksonville, FL 32225 | 2018-01-10 |
1306033915 | Linear Rx, Inc | Non-Pharmacy Dispensing Site | 3333 Hendricks Ave, Jacksonville, FL 32207-5301 | 2007-09-27 |
1114434206 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 6841 Blanding Blvd, Jacksonville, FL 32244 | 2018-01-10 |
1124531082 | Springfield Clinic LLP | Non-Pharmacy Dispensing Site | 1000 W Morton Ave, Jacksonville, IL 62650-3152 | 2017-11-14 |
1972969756 | Southeast Orthopedic Specialists, Inc | Non-Pharmacy Dispensing Site | 2627 Riverside Ave, Suite 300, Jacksonville, FL 32204-4712 | 2016-01-08 |
1053776468 | Se Orthopedic Specialists | Non-Pharmacy Dispensing Site | 15255 Max Leggett Pkwy, 5th Floor, Jacksonville, FL 32218-7273 | 2015-12-30 |
1275998908 | Se Orthopedic Specialists | Non-Pharmacy Dispensing Site | 10475 Centurion Pkwy N, Suite 220, Jacksonville, FL 32256-5003 | 2015-12-23 |
1295105310 | Podiatry Associates of Florida, Inc. | Non-Pharmacy Dispensing Site | 1914 Southside Blvd, #1, Jacksonville, FL 32216-1996 | 2015-10-01 |
1528450285 | Planned Parenthood of South Florida & The Treasure Coast | Non-Pharmacy Dispensing Site | 5978 Powers Ave, Jacksonville, FL 32217-2210 | 2015-03-04 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32256 |
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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.