NFAM PHYSICIAN GROUP (NPI# 1992102891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992102891 |
| Entity Type | Organization |
| Organization Name | NFAM PHYSICIAN GROUP |
| Practice Address |
1900 Corporate Square Blvd Jacksonville FL 32216-1941 |
| Mailing Address |
1100 Park Central Blvd S Ste 3400 Pompano Beach FL 33064-2265 |
| Practice Telephone | 9546910830 |
| Practice Fax Number | 9546910834 |
| Mailing Telephone | 9546910830 |
| Mailing Fax Number | 9546910834 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |
| Authorized Official Name | MISS DONNA CAMPBELL (DIRECTOR OF BILLLING AND COLLECTION) |
| Authorized Official Telephone | 9546910856 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1900 CORPORATE SQUARE BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-1941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790747186 | Deborah A Jones | Physician Assistant | 1900 Corporate Square Blvd, Jacksonville, FL 32216-1941 | 2006-04-03 |
| 1477169266 | Ciara Shantrell Howard | Counselor | 1900 Corporate Square Blvd, Jacksonville, FL 32216-1941 | 2020-09-17 |
| 1386280022 | Diamond Gilcrist | Physical Therapy Assistant | 1900 Corporate Square Blvd, Jacksonville, FL 32216-1941 | 2019-11-18 |
| 1497220230 | Meghan Davis | Nurse Practitioner | 1900 Corporate Square Blvd, Jacksonville, FL 32216-1941 | 2018-10-08 |
| 1619458080 | Jennie Lauren Butler | Dietitian, Registered | 1900 Corporate Square Blvd, Jacksonville, FL 32216-1941 | 2018-08-23 |
| 1811388564 | Ethan Thomas | Counselor | 1900 Corporate Square Blvd, Jacksonville, FL 32216-1941 | 2015-02-16 |
| 1831511674 | Nfam Lab | Clinical Medical Laboratory | 1900 Corporate Square Blvd, Jacksonville, FL 32216-1941 | 2014-01-14 |
| 1871835736 | Shawnna Dionne Walker | Nurse Practitioner | 1900 Corporate Square Blvd, Jacksonville, FL 32216-1941 | 2013-03-19 |
| 1801110085 | Nancy Patterson | Registered Nurse | 1900 Corporate Square Blvd, Jacksonville, FL 32216-1941 | 2010-03-17 |
| 1952508103 | Amy Daly | Nurse Practitioner | 1900 Corporate Square Blvd, Jacksonville, FL 32216-1941 | 2007-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619527157 | Amron Vitality and Wellness Center, LLC | Internal Medicine | 6339 Argyle Forest Blvd Ste 3, Jacksonville, FL 32244-6601 | 2019-09-17 |
| 1225577760 | Cleanslate Medical Group of Florida, Pllc | Internal Medicine | 1128 N Laura St, Jacksonville, FL 32206-4912 | 2017-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427685411 | Mark Schellhammer LLC | Internal Medicine | 7151 University Blvd Ste 120, Winter Park, FL 32792-6724 | 2020-03-27 |
| 1952769754 | R N Singh Enterprises Pllc | Internal Medicine | 11760 Lynmoor Dr, Riverview, FL 33579-7037 | 2016-02-08 |
| 1518360726 | Family Health Care of Delray, Inc. | Internal Medicine | 7100 S Military Trl, Suite 7126, Lake Worth, FL 33463-7812 | 2014-10-01 |
| 1184043119 | Desert Rose Fl LLC | Internal Medicine | 835 Ardmore Rd, West Palm Beach, FL 33401-7631 | 2014-04-07 |
| 1265851299 | Clear Health of The Palm Beaches | Internal Medicine | 1095 Military Trl Unit 91, Jupiter, FL 33468-5005 | 2014-04-07 |
| 1891128732 | Ashton Pierce Thompson | Internal Medicine | 2449 Ne 13th Ave, Wilton Manors, FL 33305 | 2013-08-14 |
| 1396182630 | Harp Diagnostics LLC | Internal Medicine | 2655 N Ocean Dr, 103, Riviera Beach, FL 33404-4751 | 2013-05-28 |
| 1861717514 | Fanuel Dorilas | Internal Medicine | 1229 Nw 40th Ave, Lauderhill, FL 33313-5801 | 2010-04-06 |
| 1083846034 | Carol S. Rudolph | Internal Medicine | 4949 S Congress Ave Ste B, Lake Worth, FL 33461-4731 | 2009-08-10 |
| 1730372178 | Michael P Strolla | Internal Medicine | 2214 A Henry Ave, Tampa, FL 33610 | 2007-08-20 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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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.