FIRST COAST MEDICAL NETWORK LLC


Address: 2645 Cody Dr, Jacksonville, FL 32223-5585
Phone: 3023733435

FIRST COAST MEDICAL NETWORK LLC (NPI# 1487146890) 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) 1487146890
Entity Type Organization
Organization Name FIRST COAST MEDICAL NETWORK LLC
Practice Address 2645 Cody Dr
Jacksonville
FL 32223-5585
Practice Telephone 3023733435
Practice Fax Number 9046469018
Mailing Telephone 3023733435
Mailing Fax Number 9046469018
Enumeration Date 2018-05-31
Last Update Date 2018-05-31
Authorized Official Name MS. BRENDA CAROL COLEY-GROBES (PRESIDENT)
Authorized Official Telephone 3023733435
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist L18000131637 FL Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 2645 CODY DR
City JACKSONVILLE
State FL
Zip Code 32223-5585

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1679103600 Karen Gabriela Alexander Dietitian, Registered Ackerman Cancer Center, 10881 San Jose Blvd, Jacksonville, FL 32223 2020-01-17
1891250049 Thalia L Honea Occupational Therapist 12766 San Jose Blvd, Suite 716 & 717, Jacksonville, FL 32223 2019-02-01
1447758289 Stephanie Ann Murphy Marriage & Family Therapist 11543 Halethorpe Drive, Jacksonville, FL 32223 2018-01-26
1861948481 Nicole Gay Developmental Therapist 12276 San Jose Blvd, Ste 5, Jacksonville, FL 32223 2016-09-01
1740694439 Robyn K Mizelle Behavioral Analyst 12276 San Jose Blvd. Great Strides Rehabilitation, Suite 507, Jacksonville, FL 32223 2014-06-20
1184038010 Kelli Anne Cabrera Occupational Therapist 12350 San Jose Blvd, Jacksonville, FL 32223 2014-06-18
1891031910 Mandarin Family Medicine, P.a. Preferred Provider Organization 12276-210 San Jose Blvd, Jacksonville, FL 32223 2012-12-18
1114201811 Darshana Choksi Pharmacist 3663 Marbon Rd, Jacksonville, FL 32223 2011-09-30
1346539988 Harris Wilcox and Donovan Pa Optometrist 11790 San Jose Bl, Jacksonville, FL 32223 2011-04-05
1740517796 Beth A. Kelley Occupational Therapist 2640 Scott Mill Dr, Jacksonville, FL 32223 2009-11-12
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023461480 Cynthia Correa-cedeno Podiatrist 14011 Beach Blvd Ste 220, Jacksonville, FL 32250-1695 2016-07-20
1083029698 Norshae Robinson Podiatrist Total Foot Care and Wellness Clinic, 8613 Old Kings Rd South, Suite 301, Jacksonville, FL 32217-4845 2014-06-23
1457529976 Earl Horowitz Dpm Pa Podiatrist 2236 Park St, Jacksonville, FL 32204-4316 2008-02-19
1992838296 Howard G Groshell Jr. Podiatrist 2236 Park Street, Jacksonville, FL 32204-4316 2007-03-14
1356400642 Smita Malhotra Dpm Pa Podiatrist 4213 Metron Dr, Jacksonville, FL 32216-1012 2006-12-06
1457432387 Podiatry Associates of Florida Inc Podiatrist 5911 Timuquana Rd Unit 300, Jacksonville, FL 32210 2006-10-18
1154432219 Earl R Horowitz D P M Pa Podiatrist 2550 Park St, Jacksonville, FL 32204-4518 2006-08-31
1942319645 Jeffrey L Burmeister Podiatrist 2762 Dunn Ave, Jacksonville, FL 32218-4659 2006-08-29
1306871827 Theodore Joseph Piano Podiatrist 4142 Hanging Moss Ct, Jacksonville, FL 32257-7658 2006-07-12
1730134420 Rodney Todd Grobes Podiatrist 8640 Philips Hwy, Ste 10, Jacksonville, FL 32256-1207 2006-05-23
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Competitor

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City JACKSONVILLE
Zip Code 32223

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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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