Long Van (NPI# 1396019006, PAC ID# 7911149745) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1396019006 |
| PAC ID by PECOS | 7911149745 |
| Professional Enrollment ID | I20130807000800 |
| Full Name | Long Van |
| Organization Legal Name | RIVER CITY MEDICAL ASSOCIATES INC |
| Address |
8081 Philips Hwy Suite 15 Jacksonville FL 32256-7444 |
| Phone Number | 9044350799 |
| Gender | M |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 2010 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 1850478819 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6947 Merrill Rd, Jacksonville, FL 32277-2684 | 9077432222 | RIVER CITY MEDICAL ASSOCIATES INC |
| 8081 Philips Hwy, Suite 15, Jacksonville, FL 32256-7444 | 9044350799 | RIVER CITY MEDICAL ASSOCIATES INC |
| Organization Legal Name | RIVER CITY MEDICAL ASSOCIATES INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vishal C Patel | Internal Medicine | River City Medical Associates Inc | 630 Jacksonville Dr, Jacksonville Beach, FL 32250-3814 |
| Kristy Donnelly | Chiropractic | River City Medical Associates Inc | 470 Osceola Ave, Jacksonville Beach, FL 32250-4082 |
| Luz Senan | Chiropractic | River City Medical Associates Inc | 5913 -13 Normandy Blvd, Jacksonville, FL 32205-6269 |
| Deric L D'agostino | Chiropractic | River City Medical Associates Inc | 6947 Merrill Rd, Jacksonville, FL 32277-2684 |
| Vipul R Patel | Chiropractic | River City Medical Associates Inc | 6947 Merrill Rd, Jacksonville, FL 32277-2684 |
| Street Address |
8081 PHILIPS HWY SUITE 15 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32256-7444 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manish Relan | Internal Medicine | American Arthritis and Rheumatology Associates LLC | 9191 Rg Skinner Pkwy, Suite 401, Jacksonville, FL 32256 |
| Tracy Riley | Clinical Social Worker | 10151 Deerwood Park Blvd, Suite 200 250, Jacksonville, FL 32256-0589 | |
| Stephanie Nicole Burkhalter | Nurse Practitioner | Md2u Florida LLC | 10151 Deerwood Park Blvd, Suite 200 250, Jacksonville, FL 32256-0589 |
| Brian Armitage | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Scott L Thiele | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Bradley Kirchner | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Michael L Hay | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Jon S Walker | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Ann-marie Connolly | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Jack Rubin | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Find all physicians in zip 32256 | |||
| City | JACKSONVILLE |
| Zip Code | 32256 |
| Specialty | CHIROPRACTIC |
| City + Specialty | JACKSONVILLE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Long Van.
| 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.