MAYO CLINIC JACKSONVILLE


Address: 4500 San Pablo Road, Jacksonville, FL 32224-1865
Phone: 9049531768

MAYO CLINIC JACKSONVILLE (NPI# 1790772317) 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) 1790772317
Entity Type Organization
Organization Name MAYO CLINIC JACKSONVILLE
Practice Address 4500 San Pablo Road
Jacksonville
FL 32224-1865
Practice Telephone 9049531768
Practice Fax Number 9049531768
Mailing Telephone 9049537355
Mailing Fax Number 9049531768
Enumeration Date 2005-09-29
Last Update Date 2015-05-18
Authorized Official Name CHRISTINA ZORN (CHIEF ADMINISTRATIVE OFFICER)
Authorized Official Telephone 9049532146
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 064350501 05
FL 064350503 05
FL 064350500 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1265097513 Mayo Clinic Jacksonville Ambulance 13970 Zumbro Dr, Jacksonville, FL 32224 2019-05-02
1578037891 Mayo Clinic Jacksonville Durable Medical Equipment & Medical Supplies 7826 Ozark Dr, Jacksonville, FL 32256-5839 2019-01-21
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

Other Data Sources

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

Office Location

Street Address 4500 SAN PABLO ROAD
City JACKSONVILLE
State FL
Zip Code 32224-1865

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396392668 Madeline Hudson Pharmacist 4500 San Pablo Road, Department of Pharmacy, Jacksonville, FL 32224 2019-08-21
1417411604 Thomas Michael Dauw Pharmacist 4500 San Pablo Road, Jacksonville, FL 32224 2019-01-22
1992293146 Samantha Michelle Espinosa Internal Medicine 4500 San Pablo Road, Jacksonville, FL 32224 2018-04-24
1598050700 Reza Hejazi Internal Medicine 4500 San Pablo Road, Mayo Clinic, Jacksonville, FL 32224 2011-06-15
1538120266 Angela Hartman Perrin Nurse Practitioner 4500 San Pablo Road, Davis 7b-east, Jacksonville, FL 32224 2006-03-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356974372 Noelle Parker Specialist/Technologist 1 Unf Drivve, Jacksonville, FL 32224 2020-02-18
1124685102 Charcy Rene Stiller Specialist/Technologist 1 Unf Dr., Jacksonville, FL 32224 2019-05-24
1265097513 Mayo Clinic Jacksonville Ambulance 13970 Zumbro Dr, Jacksonville, FL 32224 2019-05-02
1639681471 Brigantti Anesthesia & Spine Care Clinic/Center 1361 13th Ave South Suite #210, Jacksonville, FL 32224 2017-11-02
1093240061 Beric Emilio Berlioz Anesthesiology 4500 San Pablo Rd S # J, Jacksonville, FL 32224 2017-04-26
1609240746 Matthew James Dailey Nurse Anesthetist, Certified Registered 2500 San Pablo Rd S, Jacksonville, FL 32224 2015-11-29
1003299603 Upscale Personal Care Home Assisted Living Facility 4375 Autumn River Road, Jacksonville, FL 32224 2015-07-01
1629459375 Bellanid Fonseca Social Worker 3694 Summerlin Ln E, Jacksonville, FL 32224 2015-06-17
1164840500 Nicholas Scotto Physical Therapist 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 2014-04-02
1497093454 Quicker Care Urgent Care Point of Service 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 2013-01-27
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972161776 Pain Relief and Rehab Physicians Group Inc Clinic/Center 6444 Beach Blvd Ste 2002, Jacksonville, FL 32216-2891 2019-06-05
1205399946 Usa United Surgical Assistants Clinic/Center Bahri Surgical Center, 9726 Touchton Rd, Jacksonville, FL 32246 2019-04-10
1801313788 Ace Medical LLC Clinic/Center 3450 Dunn Ave Ste 302, Jacksonville, FL 32218-6427 2017-08-23
1780033498 Healthworks Med Group of Florida Pa Clinic/Center 5022 Gate Pkwy Ste 400, Jacksonville, FL 32256-0833 2016-06-03
1851344378 Solantic/south Florida, LLC Clinic/Center 8711 Perimter Park Blvd., Suite 6, Jacksonville, FL 32216 2006-05-18
1255336350 Walter R Gilbert Jr Md Pa Clinic/Center 3 Shircliff Way, Ste 122, Jacksonville, FL 32204-4757 2005-06-15
1710592787 Infinite Rehabilitation and Wellness Center, LLC Clinic/Center 6349 Beach Blvd, Jacksonville, FL 32216-2707 2020-09-15
1083229017 Infinite Rehabilitation and Wellness Center, LLC Clinic/Center 7450 103rd St, Jacksonville, FL 32210-6780 2020-09-15
1801407291 Patient Focus Physicians Associates Inc Clinic/Center 101 Century 21 Dr, Jacksonville, FL 32216-8115 2020-08-11
1093331456 Jax Health LLC Clinic/Center 4540 Southside Blvd Ste 401, Jacksonville, FL 32216-5488 2020-06-22
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Competitor

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City JACKSONVILLE
Zip Code 32224

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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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