FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC. (NPI# 1891207551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891207551 |
| Entity Type | Organization |
| Organization Name | FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC. |
| Other Organization Name | FCHV |
| Practice Address |
3901 University Blvd S Ste 221 Jacksonville FL 32216-4392 |
| Mailing Address |
301 Health Park Blvd Ste 101 St Augustine FL 32086-5794 |
| Practice Telephone | 9044230010 |
| Practice Fax Number | 9044230012 |
| Mailing Telephone | (904) 819-4400 |
| Mailing Fax Number | 9048194472 |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | JASON PAUL BARRETT (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9048194400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| FCHV | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Plantation Island Dr S, St Augustine, FL 320803106 | 9043428300 | 9043428301 |
| 14810 Old Saint Augustine Rd Ste 210, Jacksonville, FL 322582558 | 9044230010 | 9044230012 |
| 1679 Eagle Harbor Pkwy Ste B, Fleming Island, FL 320034816 | 9043758100 | 9043758101 |
| 228 Ponte Vedra Park Dr Ste 800, Ponte Vedra Beach, FL 320826610 | 9044230010 | 9044230012 |
| 26 Office Park Dr Ste B, Palm Coast, FL 321373808 | 3864469966 | 3864453398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489743 | Flagler Professional Health Care Services, Inc. | Radiology | 351 Town Plaza Ave, Ste 101, Ponte Vedra, FL 32081 | 2020-02-14 |
| 1871131573 | Flagler Professional Health Care Services, Inc. | Orthopaedic Surgery | 300 Health Park Blvd Ste 1000, St Augustine, FL 32086-3702 | 2019-12-13 |
| 1487218939 | Flagler Professional Health Care Services, Inc. | Pediatrics | 120 Palencia Village Dr Ste 108, St Augustine, FL 32095-8553 | 2019-04-30 |
| 1396300133 | Flagler Professional Health Care Services, Inc. | Radiology | 70 Turin Ter Ste 120, St Augustine, FL 32092-0849 | 2019-05-07 |
| 1023672573 | Flagler Professional Health Care Services, Inc. | Internal Medicine | 120 Palencia Village Dr Ste 107, St Augustine, FL 32095-8553 | 2019-04-30 |
| 1104347020 | Flagler Professional Health Care Services, Inc. | Emergency Medicine | 120 Health Park Blvd Ste 1, Saint Augustine, FL 32086-5798 | 2017-06-30 |
| Street Address |
3901 UNIVERSITY BLVD S STE 221 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-4392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861454423 | Dinesh Pubbi | Internal Medicine | 3901 University Blvd S Ste 221, Jacksonville, FL 32216-4392 | 2006-04-06 |
| 1992289847 | Alexandra Kae Myers | Physician Assistant | 3901 University Blvd S Ste 221, Jacksonville, FL 32216-4392 | 2018-09-17 |
| 1982070223 | Bridget L Mossor | Nurse Practitioner | 3901 University Blvd S Ste 221, Jacksonville, FL 32216-4392 | 2015-08-20 |
| 1669716239 | Marcie Houser | Nurse Practitioner | 3901 University Blvd S Ste 221, Jacksonville, FL 32216-4392 | 2012-11-20 |
| 1609132299 | Punita Kaveti | Internal Medicine | 3901 University Blvd S Ste 221, Jacksonville, FL 32216-4392 | 2012-04-09 |
| 1649544644 | Miciah Jones | Internal Medicine | 3901 University Blvd S Ste 221, Jacksonville, FL 32216-4392 | 2012-03-08 |
| 1821307877 | Christopher Edwards | Internal Medicine | 3901 University Blvd S Ste 221, Jacksonville, FL 32216 | 2010-09-24 |
| 1215171004 | Sunil Partap Singh | Internal Medicine | 3901 University Blvd S Ste 221, Jacksonville, FL 32216-4392 | 2009-04-24 |
| 1568683795 | Kevin M Hayes | Internal Medicine | 3901 University Blvd S Ste 221, Jacksonville, FL 32216-4392 | 2007-05-02 |
| 1578643474 | Ameeth Vedre | Internal Medicine | 3901 University Blvd S Ste 221, Jacksonville, FL 32216-4392 | 2006-10-16 |
| Find all providers in the same location | ||||
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598182552 | Maedeh Ganji | Internal Medicine | 653 W 8th St # L-18, Jacksonville, FL 32209-6511 | 2014-03-27 |
| 1649696691 | Carolinaeast Physicians | Internal Medicine | 4725 Western Blvd, Jacksonville, NC 28546-6852 | 2014-03-14 |
| 1093151888 | Alejandro Pena Jr. | Internal Medicine | 14546 Old St Augustine Rd Suite 201, Jacksonville, FL 32258-2612 | 2013-05-20 |
| 1669696407 | Ruple Jayantilal Galani | Internal Medicine | 14546 Old Saint Augustine Rd Ste 103, Credentialing Department, Jacksonville, FL 32258-5469 | 2007-04-12 |
| 1154408656 | Heart Clinic of Jacksonville, LLC | Internal Medicine | 9551 Baymeadows Rd Ste 6, Jacksonville, FL 32256-7938 | 2006-11-01 |
| 1487757092 | Cardiovascular Associates of Jacksonville Pa | Internal Medicine | 3599 University Blvd South, Suite 913, Jacksonville, FL 32216-4269 | 2006-09-07 |
| 1316958838 | Valerie Mcnee | Internal Medicine | 1 Red Fox Ln, Jacksonville, AR 72076-2513 | 2006-08-10 |
| 1306895438 | Diagnostic Cardiology Pa | Internal Medicine | 6867 South Point Drive N, Suite 111, Jacksonville, FL 32216-8005 | 2006-05-08 |
| 1790743854 | Baptist Cardiology, Inc. | Internal Medicine | 1905 Corporate Square Blvd, Jacksonville, FL 32216-1940 | 2006-05-01 |
| 1386601896 | James C Campbell | Internal Medicine | 3225 University Blvd S Ste 104, Credentialing Department, Jacksonville, FL 32216-2757 | 2006-04-27 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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| 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.