INFUSION CENTER OF JACKSONVILLE, LLC (NPI# 1336606383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336606383 |
| Entity Type | Organization |
| Organization Name | INFUSION CENTER OF JACKSONVILLE, LLC |
| Practice Address |
11512 Lake Mead Ave Ste 302-303 Jacksonville FL 32256-9680 |
| Mailing Address |
1726 Cole Blvd Ste 250 Lakewood CO 80401-3262 |
| Practice Telephone | 5613238987 |
| Mailing Telephone | 7204655030 |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2020-06-15 |
| Authorized Official Name | ELLEN DAVIS (PRESIDENT) |
| Authorized Official Telephone | 3033844100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| Street Address |
11512 LAKE MEAD AVE STE 302-303 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-9680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619245495 | Steven D. Mathews, M.d., P.a. | Internal Medicine | 6863 Belfort Oaks Pl, Jacksonville, FL 32216-6242 | 2011-12-07 |
| 1386891604 | Aneesa Krishnamurthy | Internal Medicine | 3 Shircliff Way Ste 333, Jacksonville, FL 32204 | 2008-08-19 |
| 1639351927 | Baptist Primary Care Inc | Internal Medicine | 1660 Prudential Dr Ste 310, Jacksonville, FL 32207-8185 | 2007-11-29 |
| 1437362266 | Augusto Mayor Quilon IIi | Internal Medicine | 14810 Old Saint Augustine Rd Ste 101, Jacksonville, FL 32258-2558 | 2007-05-08 |
| 1043341795 | Annabelle K Lee | Internal Medicine | 13241 Bartram Blvd., Suite 2105, Jacksonville, FL 32258-2451 | 2007-03-07 |
| 1104987122 | Steven Dell Mathews | Internal Medicine | 6863 Belfort Oaks Place, Jacksonville, FL 32216 | 2006-12-13 |
| 1194894436 | Pamela R Neish | Internal Medicine | 1672 Dover Hill Dr, Jacksonville, FL 32225-4936 | 2006-11-08 |
| 1609962679 | Kathryn Michele Lawson | Internal Medicine | 13241 Bartram Park Blvd Unit 2105, Jacksonville, FL 32258-5224 | 2006-10-05 |
| 1437132586 | Gary Thomas Gabor | Internal Medicine | 1660 Prudential Dr, Suite 310, Jacksonville, FL 32207-8197 | 2005-11-22 |
| 1992794614 | David Donald Fraser | Internal Medicine | 1126b Kellum Loop Rd, Jacksonville, NC 28546-3304 | 2005-10-14 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
Please comment or provide details below to improve the information on INFUSION CENTER OF JACKSONVILLE, 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.