MAYO CLINIC JACKSONVILLE (NPI# 1578037891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578037891 |
| Entity Type | Organization |
| Organization Name | MAYO CLINIC JACKSONVILLE |
| Practice Address |
7826 Ozark Dr Jacksonville FL 32256-5839 |
| Mailing Address |
4500 San Pablo Rd S Jacksonville FL 32224-1865 |
| Practice Telephone | 9049568000 |
| Mailing Telephone | 9049532000 |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2019-01-21 |
| Authorized Official Name | KEVIN MICHAEL LOCKETT (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9049530577 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Gate Parkway Primary Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265097513 | Mayo Clinic Jacksonville | Ambulance | 13970 Zumbro Dr, Jacksonville, FL 32224 | 2019-05-02 |
| 1790772317 | Mayo Clinic Jacksonville | Durable Medical Equipment & Medical Supplies | 4500 San Pablo Road, Jacksonville, FL 32224-1865 | 2005-09-29 |
| 1174143986 | Mayo Clinic Jacksonville | Clinic/Center | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-04-22 |
| 1871054106 | Mayo Clinic Jacksonville | Clinic/Center | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2019-03-28 |
| 1558350413 | Mayo Clinic Jacksonville | Pharmacy | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2005-10-13 |
| 1962499079 | Mayo Clinic Jacksonville | Clinic/Center | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2005-10-04 |
| 1285621631 | Mayo Clinic Jacksonville | Clinical Medical Laboratory | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2005-09-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MAYO CLINIC JACKSONVILLE (A NONPROFIT CORPORATION) | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 |
| Street Address |
7826 OZARK DR |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-5839 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451075 | Da&u Group Inc | Durable Medical Equipment & Medical Supplies | 2118 E Rusk St, Jacksonville, TX 75766-9052 | 2020-09-10 |
| 1215540562 | Christina Lorraine Jones | Durable Medical Equipment & Medical Supplies | 894 Plumbridge Ct, Jacksonville, FL 32218-6138 | 2020-08-26 |
| 1578175568 | Mob Enterprises LLC | Durable Medical Equipment & Medical Supplies | 5285 Shad Rd Ste 207, Jacksonville, FL 32257-2038 | 2020-08-20 |
| 1902456106 | Andre' Pollard | Durable Medical Equipment & Medical Supplies | 13700 Sutton Park Dr N Apt 1313, Jacksonville, FL 32224-2277 | 2019-09-19 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1285297838 | Medical Hotspots, Inc | Durable Medical Equipment & Medical Supplies | 5353 Ramona Blvd Ste 3, Jacksonville, FL 32205-4417 | 2019-04-18 |
| 1831657394 | Synergy Pharmacy Medical Consulting LLC | Durable Medical Equipment & Medical Supplies | 3517 Peeler Rd Apt 19, Jacksonville, FL 32277-2491 | 2019-03-04 |
| 1346707262 | Realo Discount Drug Stores of Eastern North Carolina Inc | Durable Medical Equipment & Medical Supplies | 461 Western Blvd Ste 122a, Jacksonville, NC 28546-7637 | 2019-02-27 |
| 1689131617 | Hughston Orthopaedic Southeast PC | Durable Medical Equipment & Medical Supplies | 6699 Gate Pkwy, Jacksonville, FL 32256-8078 | 2019-02-26 |
| 1457816548 | Ceylon Imports LLC | Durable Medical Equipment & Medical Supplies | 10435 Midtown Pkwy Unit 125, Jacksonville, FL 32246-7462 | 2019-02-04 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
Please comment or provide details below to improve the information on MAYO CLINIC JACKSONVILLE.
| 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.