CONCENTRA ADVANCE SPECIALISTS SOUTHSIDE (NPI# 1699207555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699207555 |
| Entity Type | Organization |
| Organization Name | CONCENTRA ADVANCE SPECIALISTS SOUTHSIDE |
| Practice Address |
4933 University Blvd W Jacksonville FL 32216-5935 |
| Mailing Address |
4714 Gettysburg Rd Mechanicsburg PA 17055-4325 |
| Practice Telephone | 7179721100 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |
| Authorized Official Name | ROBERT HASSETT (DIRECTOR) |
| Authorized Official Telephone | 9723648000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Street Address |
4933 UNIVERSITY BLVD W |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-5935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811923550 | First Coast Imaging LLC | Specialist | 4933 University Blvd W, Jacksonville, FL 32216-5935 | 2006-06-24 |
| 1679002364 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 4933 University Blvd W, Jacksonville, FL 32216-5935 | 2017-06-07 |
| 1225567910 | American Currenct Care P.a. | Clinic/Center | 4933 University Blvd W, Jacksonville, FL 32216-5935 | 2017-06-07 |
| 1346773025 | Concentra Medical Center | Clinic/Center | 4933 University Blvd W, Jacksonville, FL 32216-5935 | 2017-04-10 |
| 1811429764 | American Current Care Pa | Clinic/Center | 4933 University Blvd W, Jacksonville, FL 32216-5935 | 2017-03-30 |
| 1760567762 | George L. Vega | Radiology | 4933 University Blvd W, Jacksonville, FL 32216-5935 | 2006-10-26 |
| 1992736797 | Juan C. Luis-jorge | Specialist | 4933 University Blvd W, Jacksonville, FL 32216-5935 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671096 | Crucialist LLC | Clinic/Center | 4230 Pablo Professional Ct Ste 103, Jacksonville, FL 32224-3223 | 2020-08-25 |
| 1649899279 | Queens Empire Health | Clinic/Center | 3280 Henderson Dr Ste C-1, Jacksonville, NC 28546-5289 | 2020-04-14 |
| 1154971075 | Turner Healthcare Pllc | Clinic/Center | 3002 N Myrtle Ave, Jacksonville, FL 32209-4228 | 2019-09-12 |
| 1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
| 1386147882 | Family Care Partners Urgent Care, LLC | Clinic/Center | 1215 Dunn Ave Ste 1, Jacksonville, FL 32218-4897 | 2018-03-12 |
| 1619487006 | American Current Care P.a . | Clinic/Center | 5995-1 University Blvd. West, Jacksonville, FL 32216-5935 | 2017-10-11 |
| 1447771670 | Jacksonville Carenow Urgent Care, LLC | Clinic/Center | 4853 Town Center Pkwy, Jacksonville, FL 32246-8437 | 2017-06-28 |
| 1467999375 | U.S. Medgroup, P.a. | Clinic/Center | 1036 Dunn Ave Ste 10, Jacksonville, FL 32218-6359 | 2017-01-30 |
| 1891927844 | Accucare of North Florida Inc. | Clinic/Center | 5685 Norwood Ave, Jacksonville, FL 32208-5012 | 2009-08-10 |
| 1194950907 | 30 Minute Medical LLC | Clinic/Center | 8540 Argyle Forest Blvd, 5, Jacksonville, FL 32244-6702 | 2009-05-22 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on CONCENTRA ADVANCE SPECIALISTS SOUTHSIDE.
| 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.