FRUIT COVE FAMILY MEDICINE P A (NPI# 1629195300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629195300 |
| Entity Type | Organization |
| Organization Name | FRUIT COVE FAMILY MEDICINE P A |
| Practice Address |
1400 Bishop Estates Rd Jacksonville FL 32259-4244 |
| Practice Telephone | 9042872794 |
| Practice Fax Number | 9042875362 |
| Mailing Telephone | 9042872794 |
| Mailing Fax Number | 9042875362 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DONALD J LEVINE (PRESIDENT) |
| Authorized Official Telephone | 9042872794 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME69268 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1400 BISHOP ESTATES RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32259-4244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194796813 | Jaime Lyn Kibler-mccormick | Family Medicine | 1400 Bishop Estates Rd, Credentialing Department, Jacksonville, FL 32259-4244 | 2006-01-30 |
| 1790223386 | Raquel Perez | Nurse Practitioner | 1400 Bishop Estates Rd, Jacksonville, FL 32259 | 2017-02-03 |
| 1730430893 | Nineveh A Mcintosh | Physician Assistant | 1400 Bishop Estates Rd, Jacksonville, FL 32259-4244 | 2012-09-28 |
| 1669653622 | Baptist Primary Care Inc | Family Medicine | 1400 Bishop Estates Rd, Jacksonville, FL 32259-4244 | 2007-11-19 |
| 1164592218 | Medical Diagnostic Center of Jacksonville | Radiology | 1400 Bishop Estates Rd, Jacksonville, FL 32259-4244 | 2006-11-08 |
| 1821167065 | Carol Ann-marie Noell | Physician Assistant | 1400 Bishop Estates Rd, Jacksonville, FL 32259-4244 | 2006-11-06 |
| 1861404899 | Nicole Elaine Fifer | Physician Assistant | 1400 Bishop Estates Rd, Jacksonville, FL 32259-4244 | 2006-08-11 |
| 1982673745 | Donald Jacocks Levine | Family Medicine | 1400 Bishop Estates Rd, Credentialing Department, Jacksonville, FL 32259-4244 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659904571 | Ayla Rose Yarbrough | Chiropractor | 1620 County Road 210, St. Johns County, FL 32259 | 2020-02-19 |
| 1831731009 | Andrew Dacunha, Dmd, Pa | Dentist | 71 Doctors Village Drive, Suite 303, Saint Johns, FL 32259 | 2019-10-09 |
| 1801446257 | Mary Alice Taylor | Counselor | 213 Trapper Trace Ct., St. Johns, FL 32259 | 2019-09-18 |
| 1609425826 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 155 Bartram Park Drive, Suite 100, St. Johns, FL 32259 | 2019-09-10 |
| 1518438936 | Yazji Pediatric Care | Pediatrics | 4125 Race Track Rd, Suite Number 104, Saint Johns, FL 32259 | 2018-12-11 |
| 1003328022 | Abundant Life Health Center LLC | Chiropractor | 254 Everest Lane, St. Johns, FL 32259 | 2017-10-31 |
| 1356863732 | Jennifer Eberhard | Nurse Practitioner | 335 Oxford Estates Way, Saint Johns, FL 32259 | 2017-07-07 |
| 1366986861 | Taylor Leard | Physician Assistant | 2001 County Rd 210, Suite 101, St. Johns, FL 32259 | 2016-12-19 |
| 1043760390 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2532 Race Track Rd, Saint Johns, FL 32259 | 2016-10-11 |
| 1598114233 | Bright Smiles Pediatric Dentistry, Pllc | Dentist | 196 Everest Ln Unit 1, Saint Johns, FL 32259 | 2016-06-03 |
| Find all providers in zip 32259 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676186 | Sarah Colleen Tapscott | Family Medicine | 1908 Mill Creek Rd, Jacksonville, FL 32211-5052 | 2020-07-20 |
| 1790303170 | Samantha L Scott | Family Medicine | 516 Pierce Ln, Jacksonville, TX 75766-4546 | 2020-07-11 |
| 1689298689 | Meridian Spine and Joint, Inc | Family Medicine | 9770 Old Baymeadows Rd Ste 139, Jacksonville, FL 32256-7986 | 2020-06-04 |
| 1154942563 | Families First Medical Group | Family Medicine | 12086 Fort Caroline Rd Ste 103, Jacksonville, FL 32225-2688 | 2020-04-27 |
| 1598396392 | Pareto Population Health Management Practice Pllc | Family Medicine | 1697 Kings Rd Ste 1, Jacksonville, FL 32209-6169 | 2020-01-30 |
| 1942862206 | Cindy S Wright Do Pllc | Family Medicine | 12627 San Jose Blvd Ste 902, Jacksonville, FL 32223-8645 | 2019-07-07 |
| 1942868377 | Pain Spine & Wellness LLC | Family Medicine | 9770 Old Baymeadows Rd Ste 141, Jacksonville, FL 32256-7986 | 2019-05-31 |
| 1669035705 | Kathy Jo Daniels | Family Medicine | 10457 Wellington Springs Way, Jacksonville, FL 32221-1175 | 2019-04-15 |
| 1821579103 | Tiffany N Major | Family Medicine | 5194 Johnson Creek Dr, Jacksonville, FL 32218-9308 | 2018-08-24 |
| 1568987360 | Main Street Health LLC | Family Medicine | 2 Shircliff Way Ste 620, Jacksonville, FL 32204-4762 | 2017-08-14 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32259 |
Please comment or provide details below to improve the information on FRUIT COVE FAMILY MEDICINE P A.
| 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.