Agnes David (NPI# 1497713614, PAC ID# 2668447814) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1497713614 |
PAC ID by PECOS | 2668447814 |
Professional Enrollment ID | I20040831000865 |
Full Name | Agnes David |
Organization Legal Name | NORTH FLORIDA SURGEONS PA |
Address |
1370 13th S Ave Suite 119 Jacksonville Beach FL 32250-3206 |
Phone Number | 9042494994 |
Gender | F |
Credential | MD |
Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
Graduation Year | 1990 |
Primary Specialty | GENERAL SURGERY |
Group Practice PAC ID | 2769381391 |
Number of Group Practice Members | 106 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100117 | BAPTIST MEDICAL CENTER BEACHES |
100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
100307 | ST VINCENT'S MEDICAL CENTER SOUTHSIDE |
Address | Phone | Organization |
---|---|---|
1370 13th S Ave, Suite 119, Jacksonville Beach, FL 32250-3206 | 9042494994 | NORTH FLORIDA SURGEONS PA |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | NORTH FLORIDA SURGEONS PA |
Physicians | 112 |
Name | Specialty | Organization | Address |
---|---|---|---|
Leah Lynn Kammerdiener | Ophthalmology | North Florida Surgeons Pa | 714 Stockton St, Jacksonville, FL 32204-3402 |
Edward A Collier Ii | Nurse Practitioner | North Florida Surgeons Pa | 600 E Government St, Pensacola, FL 32502-6136 |
Francis A Chrzanowski Jr. | Colorectal Surgery (proctology) | North Florida Surgeons Pa | 1617 King St, Jacksonville, FL 32204-4563 |
John Mitchell Vassallo | Ophthalmology | North Florida Surgeons Pa | 3780 Us Hwy 1 S, St Augustine, FL 32086-7150 |
Norman A Jones | General Surgery | North Florida Surgeons Pa | 2407 Ruth Hentz Ave, Panama City, FL 32405-2259 |
Garrett A Hauptman | Otolaryngology | North Florida Surgeons Pa | 7135 Nw 11th Place, Suite A, Gainesville, FL 32605-3143 |
Mcgregor N Lott | Ophthalmology | North Florida Surgeons Pa | 224 Ponte Vedra Park Dr, Suite 300, Ponte Vedra Beach, FL 32082-6604 |
John D Brinkman | General Surgery | North Florida Surgeons Pa | 1658 St Vincents Way, Suite 210, Middleburg, FL 32068-8459 |
Richard D Curtis | Orthopedic Surgery | North Florida Surgeons Pa | 1715 Eagle Harbour Pkwy, Suite A, Fleming Island, FL 32003-4324 |
Sean Joseph Kirby | Physician Assistant | North Florida Surgeons Pa | 836 Prudential Dr, Jacksonville, FL 32207-8337 |
Street Address |
1370 13TH S AVE SUITE 119 |
City | JACKSONVILLE BEACH |
State | FL |
Zip | 32250-3206 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mary E Southwick-jones | Clinical Social Worker | 4300 Marsh Landing Blvd, Suite 204, Jacksonville Beach, FL 32250-1420 | |
Candice P Ster | Clinical Social Worker | 4300 Marsh Landing Blvd, Suite 204, Jacksonville, FL 32250-1420 | |
Selina W Beenen | Clinical Social Worker | 4300 Marsh Landing Blvd, Suite 204, Jacksonville Beach, FL 32250-1420 | |
Kelly Gardner Rich | Family Medicine | Baptist Primary Care Inc | 14011 Beach Blvd, Suite 230, Jacksonville, FL 32250-1507 |
Payvand Tiurchy | Family Medicine | Baptist Primary Care Inc | 14011 Beach Blvd, Suite 230, Jacksonville, FL 32250-1507 |
Susan N Young | Psychologist, Clinical | 14286 Beach Blvd, Suite 22, Jacksonville, FL 32250-1569 | |
Lauren Kay Smedley | Chiropractic | Cooper Chiropractic and Family Wellness Inc | 14333 Beach Blvd, Suite 2, Jacksonville, FL 32250-1587 |
Lisa A Karr | Nurse Practitioner | Physicians Group Services Pa | 14011 Beach Blvd, Suite 120, Jacksonville, FL 32250-1695 |
Jaclyn Taylor | Nurse Practitioner | Physicians Group Services Pa | 14011 Beach Blvd, Suite 120, Jacksonville, FL 32250-1695 |
Howard J Green | Family Medicine | Family Care Partners of Northeast Florida LLC | 14444 Beach Blvd, Suite 27, Jacksonville, FL 32250-2079 |
Find all physicians in zip 32250 |
City | JACKSONVILLE BEACH |
Zip Code | 32250 |
Specialty | GENERAL SURGERY |
City + Specialty | JACKSONVILLE BEACH + GENERAL SURGERY |
Please comment or provide details below to improve the information on Agnes David.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.