Christopher Scuderi (NPI# 1760454037, PAC ID# 9133273899) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1760454037 |
| PAC ID by PECOS | 9133273899 |
| Professional Enrollment ID | I20090813000797 |
| Full Name | Christopher Scuderi |
| Organization Legal Name | UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. |
| Address |
3122 New Berlin Rd Jacksonville FL 32226-1828 |
| Phone Number | 9046330340 |
| Gender | M |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9133025869 |
| Number of Group Practice Members | 575 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100001 | SHANDS JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 3122 New Berlin Rd, Jacksonville, FL 32226-1828 | 9046330340 | UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. |
| Organization Legal Name | UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. |
| Physicians | 621 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Joseph Bradburn | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 409 Kings Rd S, Callahan, FL 32011-4128 |
| Roselyn Perez | Clinical Social Worker | University of Florida Jacksonville Physicians, Inc. | 7645 Merrill Rd, Jacksonville, FL 32277-6573 |
| Amanda Salzburg | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 3122 New Berlin Rd, Jacksonville, FL 32226-1828 |
| Julia Holsomback | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 11481 Old Saint Augustine Rd, Suite 101, Jacksonville, FL 32258-1474 |
| Alan M Litwin | Diagnostic Radiology | University of Florida Jacksonville Physicians, Inc. | 4555 Emerson Expressway, Suite 120, Jacksonville, FL 32207-4958 |
| Jekeva Moss | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 1833 Boulevard Ave, Jacksonville, FL 32206-4394 |
| Kimberly Michelle Gomez | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 201 B Lakeshore Point, St Mary's, GA 31558 |
| Nicole Marie Alexander | Obstetrics/gynecology | University of Florida Jacksonville Physicians, Inc. | 1155 E 21st St, Jacksonville, FL 32206-2401 |
| Nicole A Kahhan | Clinical Psychologist | University of Florida Jacksonville Physicians, Inc. | 910 N Jefferson St, Jacksonville, FL 32209-6810 |
| Cristina Jorgensen | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 5205 Normandy Blvd, Suite 13, Jacksonville, FL 32205-4842 |
| Street Address |
3122 NEW BERLIN RD |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32226-1828 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Salzburg | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 3122 New Berlin Rd, Jacksonville, FL 32226-1828 |
| Bradley A Briscoe | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 3122 New Berlin Rd, Jacksonville, FL 32226-1828 |
| Holly L Hamilton | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 3122 New Berlin Rd, Jacksonville, FL 32226-1828 |
| Victoria A Mccreadie | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 3122 New Berlin Rd, Jacksonville, FL 32226-1828 |
| Leah R Robinowitz | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 3122 New Berlin Rd, Jacksonville, FL 32226-1828 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah M Chapin | Family Medicine | Florida Post Acute Care Clinicians LLC | 12740 Lanier Rd, Jacksonville, FL 32226-1704 |
| Susan Armour | Nurse Practitioner | Florida Post Acute Medical Services 1 Pa | 12740 Lanier Rd, Jacksonville, FL 32226-1704 |
| Kevin Cronin | Ophthalmology | Frank W Bowden IIi Md Facs Pa | 12341 Yellow Bluff Rd, Suite 4, Jacksonville, FL 32226-2014 |
| Jerry Lee Robben | Optometry | Frank W Bowden IIi Md Facs Pa | 12341 Yellow Bluff Rd, Suite 4, Jacksonville, FL 32226-2014 |
| Alison Vukich | Family Medicine | Baptist Primary Care Inc | 12341 Yellow Bluff Rd, Jacksonville, FL 32226-2025 |
| Tristan A Imhof | Family Medicine | Baptist Primary Care Inc | 12341 Yellow Bluff Rd, Jacksonville, FL 32226-2025 |
| Mehul K Parekh | Family Medicine | Baptist Primary Care Inc | 12341 Yellow Bluff Rd, Jacksonville, FL 32226-2025 |
| City | JACKSONVILLE |
| Zip Code | 32226 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JACKSONVILLE + FAMILY MEDICINE |
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| 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.