MEMORIAL URGENT CARE MANDARIN LLC (NPI# 1033193743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033193743 |
| Entity Type | Organization |
| Organization Name | MEMORIAL URGENT CARE MANDARIN LLC |
| Practice Address |
11701 San Jose Blvd Suite 110 Jacksonville FL 32223-0756 |
| Mailing Address |
11701-32 San Jose Blvd Suite 110 Jacksonville FL 32223-1884 |
| Practice Telephone | 9043068060 |
| Practice Fax Number | 9043068065 |
| Mailing Telephone | 9049967600 |
| Mailing Fax Number | 9043068065 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2007-12-10 |
| Authorized Official Name | MR. MICKEY PICKLER (VP) |
| Authorized Official Telephone | 8505232117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
11701 SAN JOSE BLVD SUITE 110 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32223-0756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457884181 | Molly Zagoria | Occupational Therapist | 11701 San Jose Blvd, #210, Jacksonville, FL 32223-0756 | 2017-04-10 |
| 1053865998 | Rebecca Sutton Giallella | Occupational Therapist | 11701 San Jose Blvd, #210, Jacksonville, FL 32223-0756 | 2016-08-09 |
| 1841649456 | Amy Garinger | Occupational Therapist | 11701 San Jose Blvd, Jacksonville, FL 32223-0756 | 2016-06-06 |
| 1518398445 | Stephanie Aubrey | Physical Therapist | 11701 San Jose Blvd, #210, Jacksonville, FL 32223-0756 | 2013-12-03 |
| 1013349604 | Kerri Copeland Jarrell | Nurse Practitioner | 11701 San Jose Blvd, Suite 103, Jacksonville, FL 32223-0756 | 2013-08-06 |
| 1750729802 | Brittany Lynn Comer | Physical Therapist | 11701 San Jose Blvd, #210, Jacksonville, FL 32223-0756 | 2013-06-11 |
| 1932403953 | Geoffrey Daniel Willard | Physical Therapist | 11701 San Jose Blvd, Suite 210, Jacksonville, FL 32223-0756 | 2011-01-05 |
| 1306158498 | Elizabeth Rose Northrop | Physical Therapist | 11701 San Jose Blvd, #210, Jacksonville, FL 32223-0756 | 2010-07-06 |
| 1396979910 | Bryttnee Roberts Joseph | Occupational Therapist | 11701 San Jose Blvd, Suite 210, Jacksonville, FL 32223-0756 | 2009-05-11 |
| 1043493653 | Flordeliza L Bennett | Occupational Therapist | 11701 San Jose Blvd, Suite 210, Jacksonville, FL 32223-0756 | 2007-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679103600 | Karen Gabriela Alexander | Dietitian, Registered | Ackerman Cancer Center, 10881 San Jose Blvd, Jacksonville, FL 32223 | 2020-01-17 |
| 1891250049 | Thalia L Honea | Occupational Therapist | 12766 San Jose Blvd, Suite 716 & 717, Jacksonville, FL 32223 | 2019-02-01 |
| 1447758289 | Stephanie Ann Murphy | Marriage & Family Therapist | 11543 Halethorpe Drive, Jacksonville, FL 32223 | 2018-01-26 |
| 1861948481 | Nicole Gay | Developmental Therapist | 12276 San Jose Blvd, Ste 5, Jacksonville, FL 32223 | 2016-09-01 |
| 1740694439 | Robyn K Mizelle | Behavioral Analyst | 12276 San Jose Blvd. Great Strides Rehabilitation, Suite 507, Jacksonville, FL 32223 | 2014-06-20 |
| 1184038010 | Kelli Anne Cabrera | Occupational Therapist | 12350 San Jose Blvd, Jacksonville, FL 32223 | 2014-06-18 |
| 1891031910 | Mandarin Family Medicine, P.a. | Preferred Provider Organization | 12276-210 San Jose Blvd, Jacksonville, FL 32223 | 2012-12-18 |
| 1114201811 | Darshana Choksi | Pharmacist | 3663 Marbon Rd, Jacksonville, FL 32223 | 2011-09-30 |
| 1346539988 | Harris Wilcox and Donovan Pa | Optometrist | 11790 San Jose Bl, Jacksonville, FL 32223 | 2011-04-05 |
| 1740517796 | Beth A. Kelley | Occupational Therapist | 2640 Scott Mill Dr, Jacksonville, FL 32223 | 2009-11-12 |
| Find all providers in zip 32223 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676186 | Sarah Colleen Tapscott | Family Medicine | 1908 Mill Creek Rd, Jacksonville, FL 32211-5052 | 2020-07-20 |
| 1790303170 | Samantha L Scott | Family Medicine | 516 Pierce Ln, Jacksonville, TX 75766-4546 | 2020-07-11 |
| 1689298689 | Meridian Spine and Joint, Inc | Family Medicine | 9770 Old Baymeadows Rd Ste 139, Jacksonville, FL 32256-7986 | 2020-06-04 |
| 1154942563 | Families First Medical Group | Family Medicine | 12086 Fort Caroline Rd Ste 103, Jacksonville, FL 32225-2688 | 2020-04-27 |
| 1598396392 | Pareto Population Health Management Practice Pllc | Family Medicine | 1697 Kings Rd Ste 1, Jacksonville, FL 32209-6169 | 2020-01-30 |
| 1942862206 | Cindy S Wright Do Pllc | Family Medicine | 12627 San Jose Blvd Ste 902, Jacksonville, FL 32223-8645 | 2019-07-07 |
| 1942868377 | Pain Spine & Wellness LLC | Family Medicine | 9770 Old Baymeadows Rd Ste 141, Jacksonville, FL 32256-7986 | 2019-05-31 |
| 1669035705 | Kathy Jo Daniels | Family Medicine | 10457 Wellington Springs Way, Jacksonville, FL 32221-1175 | 2019-04-15 |
| 1821579103 | Tiffany N Major | Family Medicine | 5194 Johnson Creek Dr, Jacksonville, FL 32218-9308 | 2018-08-24 |
| 1568987360 | Main Street Health LLC | Family Medicine | 2 Shircliff Way Ste 620, Jacksonville, FL 32204-4762 | 2017-08-14 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32223 |
Please comment or provide details below to improve the information on MEMORIAL URGENT CARE MANDARIN LLC.
| 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.