NORTH FLORIDA REPRODUCTIVE MEDICINE, LLC (NPI# 1205397940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205397940 |
| Entity Type | Organization |
| Organization Name | NORTH FLORIDA REPRODUCTIVE MEDICINE, LLC |
| Practice Address |
836 Prudential Drive Suite 902 Jacksonville FL 32207 |
| Mailing Address |
14540 Old St. Augustine Road Suite 2503 Jacksonville FL 32258 |
| Practice Telephone | 9042819887 |
| Practice Fax Number | 9042819985 |
| Mailing Telephone | 9042819887 |
| Mailing Fax Number | 9042819985 |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-03-26 |
| Authorized Official Name | KEVIN WINSLOW (PRESIDENT) |
| Authorized Official Telephone | 9043995620 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Florida Institute for Reproductive Medicine | Doing Business As Name - Organization |
| Street Address |
836 PRUDENTIAL DRIVE SUITE 902 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316910110 | Abby Starstrom | Nurse Practitioner | 836 Prudential Drive, Suite 1700, Jacksonville, FL 32207-8344 | 2006-02-10 |
| 1437495868 | Florida Physician Specialists LLC | Urology | 836 Prudential Drive, Suite 1606, Jacksonville, FL 32207-8343 | 2012-12-12 |
| 1871862409 | Stacie Ward Cook | Obstetrics & Gynecology | 836 Prudential Drive, Suite 1103, Jacksonville, FL 32207-8338 | 2011-12-28 |
| 1114214301 | Paul Parmanand Maraj | Internal Medicine | 836 Prudential Drive, Suite 804 Pavilion Bldg, Jacksonville, FL 32207 | 2011-07-07 |
| 1194046888 | Andreea Poenariu | Internal Medicine | 836 Prudential Drive, Suite 804 Pavilion Bldg., Jacksonville, FL 32207 | 2010-06-16 |
| 1497075352 | Gregory Ray Schott | Physician Assistant | 836 Prudential Drive, Ste 1601, Jacksonville, FL 32007 | 2010-06-02 |
| 1881834562 | Winifred Eileen Tate | Nurse Practitioner | 836 Prudential Drive, Suite 1001, Jacksonville, FLORIDA 32207 | 2009-02-20 |
| 1679734172 | Sara Dianne Mohr | Nurse Practitioner | 836 Prudential Drive, Suite 1800, Jacksonville, FL 32207 | 2008-06-18 |
| 1710076971 | Eugene William Gnida | Internal Medicine | 836 Prudential Drive, Suite 1400, Jacksonville, FL 32207 | 2006-10-12 |
| 1396854386 | Teresa L Macgregor | Nurse Practitioner | 836 Prudential Drive, Ufjax - Department of Neurosurgery (pediatric), Jacksonville, FL 32207 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255438636 | Melinda B Henne | Obstetrics & Gynecology | 14540 Old Saint Augustine Rd Ste 2503, Jacksonville, FL 32258 | 2006-09-20 |
| 1154357838 | Teresa M Erb | Obstetrics & Gynecology | 836 Prudential Dr Ste 902, Jacksonville, FL 32207-8336 | 2006-06-24 |
| 1558340182 | Samuel E Brown | Obstetrics & Gynecology | 8149 Point Meadows Way, Jacksonville, FL 32256-9111 | 2006-01-12 |
| 1508859646 | Michael Davis Fox | Obstetrics & Gynecology | 7051 Southpoint Pkwy, Ste 200, Jacksonville, FL 32216-8709 | 2005-08-24 |
| 1902109481 | Marwan M. Shaykh, M.d., P.a. | Obstetrics & Gynecology | 3627 University Blvd S, Suite 450, Jacksonville, FL 32216-4230 | 2010-12-06 |
| 1538283510 | Kari Sproul Von Goeben | Obstetrics & Gynecology | 836 Prudential Dr, Suite 902, Jacksonville, FL 32207-8334 | 2007-03-16 |
| 1790713329 | Lori-linell Colby Hollins | Obstetrics & Gynecology | 8149 Point Meadows Way, Jacksonville, FL 32256-9111 | 2006-06-30 |
| 1558336909 | Bruce Irwin Rose | Obstetrics & Gynecology | 8149 Point Meadows Way, Jacksonville, FL 32256-9111 | 2006-02-21 |
| 1437139573 | Daniel M Duffy | Obstetrics & Gynecology | 836 Prudential Dr, Suite 902, Jacksonville, FL 32207-8334 | 2006-01-17 |
| 1013991587 | Reproductive Medicine Associates, P.a. | Obstetrics & Gynecology | 836 Prudential Dr, Suite 902, Jacksonville, FL 32207-8334 | 2005-11-30 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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| 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.