MS. EMILY OPDYCKE


Address: 14540 Old Saint Augustine Rd Ste 2497, Jacksonville, FL 32258-7420
Phone: 9042600352

MS. EMILY OPDYCKE (NPI# 1366752842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366752842
Entity Type Individual
Full Name MS. EMILY OPDYCKE
Credential APRN
Practice Address 14540 Old Saint Augustine Rd Ste 2497
Jacksonville
FL 32258-7420
Mailing Address 8149 Point Meadows Way
Jacksonville
FL 32256-9111
Practice Telephone 9042600352
Practice Fax Number 9042600353
Mailing Telephone 9042600352
Mailing Fax Number 9043639818
Enumeration Date 2010-10-18
Last Update Date 2019-03-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
APRN9479682 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 024227900 05
FL AETNA 9677959 01
FL BCBS FL Y0E8G 01
FL AVMED 359903 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
70 W Gore St Ste 202, Orlando, FL 328061124 9042600352 4072445513
8149 Point Meadows Way, Jacksonville, FL 322569111 9042600352 9043639818

Office Location

Street Address 14540 OLD SAINT AUGUSTINE RD STE 2497
City JACKSONVILLE
State FL
Zip Code 32258-7420

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NPI Name Taxonomy Address Enumeration
1437794237 Nicoleta Descalzo Behavior Technician 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 2019-11-15
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1104301159 Emergency Physicians Inc Emergency Medicine 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 2018-09-26
1679092886 Palm Life Medical Associates Pa Assisted Living Facility 12494 Acosta Oaks Drive, Jacksonville, FL 32258 2017-09-19
1679013932 Optometry Vision Care Pllc Optometrist 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 2017-03-06
1467991950 North Florida Vision Group Inc Optometrist 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 2017-02-16
1124576566 Revolution Chiropractic LLC Chiropractor 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 2016-09-14
1396291936 Robyn Reaves Nurse Practitioner 12361 Richards Glen Ct, Jacksonville, FL 32258 2016-09-01
1326595927 Lauren Cost Chiropractor 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 2016-09-01
1487991170 Mark Steven Colosimo Pharmacist 13820 Old St Augustine Road, Jacksonville, FL 32258 2013-01-15
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912374489 Jessica Anne Hough Nurse Practitioner 1510 Riverplace Blvd, Jacksonville, FL 32207-9017 2015-08-31
1740674787 Philomena Meisler Nurse Practitioner 13775 Shady Woods St N, Jacksonville, FL 32224-4822 2015-03-27
1679650741 Gayle Y. Lewis Nurse Practitioner 622 Grove Street, Jacksonville, OR 97530-1198 2006-11-01
1750490819 Nicole Marie Neidhart Nurse Practitioner 915 W Monroe St Ste 100, Jacksonville, FL 32204-1177 2006-08-30
1962410720 Benita Suzette Corbitt-cherry Nurse Practitioner 2133 Broadway Ave, Jacksonville, FL 32209-7513 2006-08-04
1952354821 Lorelei Sinnett Nurse Practitioner 3225 University Blvd. South, Suite 101, Jacksonville, FL 32216 2006-05-19
1548263098 Linda Smoot Sayko Nurse Practitioner 612 College St, Jacksonville, NC 28540-5311 2005-05-28
1154963403 Jessica Hays Nurse Practitioner 4063 Salisbury Road North, Suite 202, Jacksonville, FL 32216 2019-10-08
1326519166 Brown Fertility Associates, P.a. Nurse Practitioner 8149 Point Meadows Way, Jacksonville, FL 32256-9111 2018-12-05
1922502293 Melissa Lynn Adams Nurse Practitioner 13241 Bartram Park Blvd Unit 1509, Jacksonville, FL 32258-5231 2018-03-21
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Competitor

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City JACKSONVILLE
Zip Code 32258

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Dataset Information

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.

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