DR. AUGUSTO MAYOR QUILON III (NPI# 1437362266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437362266 |
| Entity Type | Individual |
| Full Name | DR. AUGUSTO MAYOR QUILON III |
| Credential | M.D. |
| Practice Address |
14810 Old Saint Augustine Rd Ste 101 Jacksonville FL 32258-2558 |
| Mailing Address |
Po Box 45443 Salt Lake City UT 84145-0443 |
| Practice Telephone | 9042924111 |
| Practice Fax Number | 9042924080 |
| Mailing Telephone | 9042021032 |
| Mailing Fax Number | 9043764107 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2018-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
ME107388 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0024358-00 | 05 | |
| FL | RAILROAD MEDICARE | P00871767 | 01 |
| Street Address |
14810 OLD SAINT AUGUSTINE RD STE 101 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32258-2558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336574839 | Betsy Geraci | Physician Assistant | 14810 Old Saint Augustine Rd Ste 101, Jacksonville, FL 32258-2558 | 2013-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 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 |
| Find all providers in zip 32258 | ||||
| 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 |
|---|---|---|---|---|
| 1336606383 | Infusion Center of Jacksonville, LLC | Internal Medicine | 11512 Lake Mead Ave Ste 302-303, Jacksonville, FL 32256-9680 | 2019-02-26 |
| 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 |
| 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 | 32258 |
Please comment or provide details below to improve the information on DR. AUGUSTO MAYOR QUILON III.
| 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.