PEOPLES MEDICAL CENTERS PRIMARY CARE INC (NPI# 1194033043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194033043 |
| Entity Type | Organization |
| Organization Name | PEOPLES MEDICAL CENTERS PRIMARY CARE INC |
| Practice Address |
4114 Sunbeam Rd Ste 102 Jacksonville FL 32257-8870 |
| Practice Telephone | 9042629444 |
| Practice Fax Number | 9042623750 |
| Mailing Telephone | 9042629444 |
| Mailing Fax Number | 9042623750 |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2019-10-28 |
| Authorized Official Name | MICHAEL CRITZER (C.E.O.) |
| Authorized Official Telephone | 9042629444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6012 Aloma Woods Blvd, Oviedo, FL 327659786 | 9042629444 | 9042623750 |
| 265 W Hwy 50, Clermont, FL 347113027 | 9042629444 | 9042623750 |
| 1910 N Orange Ave, Orlando, FL 328045528 | 9042629444 | 9042623750 |
| 1400 S Orlando Ave Ste 204, Winter Park, FL 327895543 | 9042629444 | 9042623750 |
| 1663 Georgia St Ne Ste 500, Palm Bay, FL 329072589 | 3218029080 | 9042623750 |
| 14807 E Colonial Dr Ste 112, Orlando, FL 328265122 | 4077138406 | 9042623750 |
| 1650 Sand Lake Rd Ste 112, Orlando, FL 328097671 | 7174253891 | 9042623750 |
| Street Address |
4114 SUNBEAM RD STE 102 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32257-8870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835842 | Majdoline Kasera | Pharmacist | 11250-4 Old St Augustine Rd, Jacksonville, FL 32257 | 2019-08-06 |
| 1386203859 | Jetaime Y Lewis | Physical Therapist | 9765 San Jose Blvd Ste 6, Jacksonville, FL 32257 | 2019-06-10 |
| 1437622107 | Michelle Espanol Garcia | Nurse Practitioner | 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 | 2019-01-05 |
| 1982172995 | Pacifica Augustine Road LLC | Alzheimer Center (Dementia Center) | 10660 Old Augustine Road, Jacksonville, FL 32257 | 2018-11-07 |
| 1659860492 | Andrea Leigh Miller | Social Worker | 10416 Spotted Fawn Lane, Jacksonville, FL 32257 | 2018-05-08 |
| 1376049965 | Stephanie Lynne Jordon | Nurse Practitioner | 9765 San Jose Blvd Ste 102, Jacksonville, FL 32257 | 2018-04-02 |
| 1205335619 | Annetta Aileen Brown | Respite Care | 4901 Sunbeam Rd Apt 1016, Jacksonville, FL 32257 | 2018-02-12 |
| 1841714888 | Freda Stevens | Counselor | 9521 Shellie Road Unit 13, Jacksonville, FL 32257 | 2017-08-01 |
| 1659821353 | Jennifer Lavoro | Acupuncturist | 11259 Thomaston Pl, Jacksonville, FL 32257 | 2016-10-06 |
| 1225488232 | Avenues Dental LLC | Dentist | 6144 Gazebo Park Place South, Ste 210, Jacksonville, FL 32257 | 2016-06-21 |
| Find all providers in zip 32257 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023628351 | Ase Telehealth Inc | Clinic/Center | 5851 Timuquana Rd Ste 104, Jacksonville, FL 32210-7890 | 2020-08-02 |
| 1659840866 | Care4usmd | Clinic/Center | 14866 Old Saint Augustine Rd Ste 113, Jacksonville, FL 32258-2611 | 2018-11-16 |
| 1598278707 | Sunbelt Visiting Primary Care LLC | Clinic/Center | 8833 Perimeter Park Blvd Ste 901, Jacksonville, FL 32216-1113 | 2017-11-09 |
| 1881084390 | Jm Family Enterprises, Inc. | Clinic/Center | 1851 Talleyrand Ave, Jacksonville, FL 32206-5473 | 2015-02-04 |
| 1366790404 | Healthy U Medical Clinic LLC | Clinic/Center | 7208 Highway 238, Jacksonville, OR 97530-9131 | 2012-08-21 |
| 1154696417 | Duc Le Nguyen Md Pa | Clinic/Center | 803 Rosselle St, Jacksonville, FL 32204-2943 | 2012-03-19 |
| 1265704530 | Paul D. Zawatsky, Md, Pa | Clinic/Center | 10609 Old Saint Augustine Rd, Suite 4, Jacksonville, FL 32257-1164 | 2012-02-02 |
| 1619287182 | Down East Family Medicine, Pllc | Clinic/Center | 306 Brynn Marr Road, Jacksonville, NC 28546-7023 | 2010-10-18 |
| 1669797700 | Goshen Medical Center Incorporated | Clinic/Center | 1200 Hargett St, Jacksonville, NC 28540-5933 | 2010-04-01 |
| 1326274085 | North Main Medical-imeson Park,pa | Clinic/Center | 5212 N Pearl St, Jacksonville, FL 32208-5118 | 2009-06-08 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32257 |
Please comment or provide details below to improve the information on PEOPLES MEDICAL CENTERS PRIMARY CARE INC.
| 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.