Judella E Haddad Lacle (NPI# 1851351050, PAC ID# 9739134735) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1851351050 |
| PAC ID by PECOS | 9739134735 |
| Professional Enrollment ID | I20050312000050 |
| Full Name | Judella E Haddad Lacle |
| Organization Legal Name | UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. |
| Address |
450077 State Rd Suite 12 Callahan FL 32011-3863 |
| Phone Number | 9046330560 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1988 |
| 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 |
|---|---|---|
| 450077 State Rd, Suite 12, Callahan, FL 32011-3863 | 9046330560 | UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_046_65+ | Medication Reconciliation Post-Discharge | 100% | |
| MIPS_EC_046_overall | Medication Reconciliation Post-Discharge | 100% | |
| MIPS_EC_048_overall | Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| 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 |
450077 STATE RD SUITE 12 |
| City | CALLAHAN |
| State | FL |
| Zip | 32011-3863 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcia W Funderburk | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 450077 State Rd, Suite 12, Callahan, FL 32011-3863 |
| Tara Renee Blackshear | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 450077 State Rd, Suite 12, Callahan, FL 32011-3863 |
| William C Solomon | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 450077 State Rd, Suite 12, Callahan, FL 32011-3863 |
| Phillips Cao | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 450077 State Rd, Suite 12, Callahan, FL 32011-3863 |
| Madeline Horn | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 450077 State Rd, Suite 12, Callahan, FL 32011-3863 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel R Weaver | Chiropractic | Daniel R. Weaver Dc Pa | 542184 S Kings Rd, Suite 3b, Callahan, FL 32011-1107 |
| Eugenia J Ngo | Family Medicine | Florida Department of Health | 45377 Mickler St, Callahan, FL 32011-3001 |
| Kevin Fredenburg | Physical Therapy | Nassau Physical Therapy Inc | 45390 Green Ave, Callahan, FL 32011-3711 |
| James Marino | Physical Therapy | Nassau Physical Therapy Inc | 45390 Green Ave, Callahan, FL 32011-3711 |
| Ryan Paul Redwine | Physical Therapy | Nassau Physical Therapy Inc | 45390 Green Ave, Callahan, FL 32011-3711 |
| Paola Andrea Ortiz | Physical Therapy | Nassau Physical Therapy Inc | 45390 Green Ave, Callahan, FL 32011-3711 |
| Christine M Lefko | Physical Therapy | Nassau Physical Therapy Inc | 45390 Green Ave, Callahan, FL 32011-3711 |
| Anthony Michael Vogt | Physical Therapy | Nassau Physical Therapy Inc | 45390 Green Ave, Callahan, FL 32011-3711 |
| Diana R Twiggs | Family Medicine | Baptist Primary Care Inc | 45465 5th Ave, Callahan, FL 32011-3901 |
| Barbara A Bayko | Physician Assistant | Baptist Primary Care Inc | 45465 5th Ave, Callahan, FL 32011-3901 |
| Find all physicians in zip 32011 | |||
| City | CALLAHAN |
| Zip Code | 32011 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CALLAHAN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Judella E Haddad Lacle.
| 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.