National Provider Identifier (NPI)
JACKSONVILLE


Jurisdiction: Medicare & Medicaid
Source: Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)

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.

JACKSONVILLE · 820 PRUDENTIAL DR STE 304 · Search Result

NPI Name Taxonomy Address Enumeration
1639174212 Marius Laurinaitis Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2005-06-20
1205327228 Tony David Echols Nurse Practitioner 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2018-05-24
1174049340 Oscar A Milian Cardoso Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2017-08-18
1265953905 Tryphene Saint-phard Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2017-07-03
1144759424 David Samuel Kornblum Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2017-06-08
1568990190 Reem Itani Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2017-05-26
1538691183 Joanne Bartley Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2017-04-03
1558893818 Rhumit Patel Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2017-03-28
1730610213 Unnati Wardan Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2017-03-25
1831620392 Hamel J Patel Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2017-03-24
1346771508 Faiza Shah Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2017-03-21
1144678327 Crystal Wang Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2016-05-30
1992152292 Benjamin P Cochran Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2016-05-17
1558717835 Ryan David Poling Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2016-05-05
1063867554 Mathew Charles Romanelli Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2016-05-03
1225491012 Anna M Mccarthy Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2016-03-30
1063874485 Ashley Thomas Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2016-03-24
1265811160 Deval Vijubhai Patel Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2015-05-26
1376921965 Yasmin Lopez Sanchez Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207 2015-05-14
1851788863 Sherleen Gandham Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2015-04-17
1144615725 Joshua S Elder Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2015-04-01
1811382682 Noor Adamo Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207 2015-03-30
1780074682 Eunice Binyanya Nurse Practitioner 820 Prudential Dr Ste 304, Jacksonville, FL 32207 2015-01-29
1881093425 Dai Qi Zheng Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2014-08-20
1003221672 Xenia T Blount Nurse Practitioner 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2014-06-23
1982017778 Christopher Lashley Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2014-06-09
1336552249 Regina Sutskever Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2014-06-09
1952713695 Sahar Naeem Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2014-05-29
1902218274 Nafisa G Ishaku Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2014-05-21
1356752331 Sarah Sharaf Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2014-05-13
1861803199 Ian S Gross Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2014-05-08
1922427236 Rommy Issa Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2014-04-15
1477972974 Niraj M Patel Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2014-04-11
1184042244 Daniel A Miranda Family Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2014-04-04
1487072948 Ozdemir Yusef Kanar Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2014-04-02
1376960997 Naiema Bhatti Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2014-03-20
1346687852 Raj A Vishnagara Family Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2013-05-24
1962740183 Chigozie Ebelenna Moronu Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2013-01-23
1407193790 Fang Chen Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2013-01-07
1013265222 Keshia Ferguson Internal Medicine 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207-8205 2012-08-17
1790033157 Tatjana A Rotko Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2012-08-16
1457607988 Xiaoxu S Zhou Emergency Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2012-08-02
1003161480 Sandrela Mussallam Abu Shaibeh Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2012-07-20
1760737894 Vilma Sophia Carson-hill Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2012-07-15
1992065163 Elias Ivan Couto Barbosa Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2012-05-22
1386901809 Sam Thomas Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2012-04-22
1841557923 Kaitlin Mccurdy Moran Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207 2012-04-13
1881960813 Melissa Pantano Cortes Internal Medicine 820 Prudential Dr Ste 304, Attn: Credentialing Department, Jacksonville, FL 32207-8205 2012-03-23
1104197979 Marcela Ioana Dobren Internal Medicine 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207-8205 2012-01-25
1417237819 Gurdip Singh Hunjan Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2011-08-17
1548558000 Ashley Waynette Primus Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2011-07-19
1518255488 Michael Merritt Collins Family Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2011-07-13
1912292178 Trevanne Rose Matthews Hew Internal Medicine 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207-8205 2011-06-16
1669765541 Tuhama Sami Rihani Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2011-05-25
1033401856 Vera Utagah Abaaba Internal Medicine 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207-8205 2011-05-12
1750670048 Curtis Paul Mracek Jr. Internal Medicine 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207-8205 2011-04-07
1336448976 Christina Maria Mathai Internal Medicine 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207-8205 2011-03-22
1609175454 Srivani Sanikommu Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2011-03-18
1336442532 Lizza Marie Bojito-marrero Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2010-12-09
1609189539 Ambihai Kumaran Sinnadurai Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2010-07-20
1538471438 Philip Tran Internal Medicine 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207-8205 2010-07-08
1881905198 Alexander Z Lyapin Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2010-07-01
1225359458 Tiffany Taylor Massey Family Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2010-06-22
1447483151 Charles Muzondi Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2009-08-27
1366670432 Arezo June Karmand Internal Medicine 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207-8205 2009-06-29
1467687590 Eric Brian Penedo Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2009-05-19
1235364563 Soe Paing Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2009-05-15
1225262397 Leslie A Davis-singletary Internal Medicine 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207-8205 2009-05-05
1275774598 Virgilio R Huerta Internal Medicine 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207-8205 2009-03-17
1821238312 Amy Christine Simmens Physician Assistant 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2009-02-24
1679728695 Tushar Mohanbhai Patel Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2008-11-18
1922256858 Syed Hammad H Jafri Internal Medicine 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207-8205 2008-09-04
1548426190 Anwar Salem Geleidi Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2008-08-04
1588828933 Tamer N Hassan Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2008-07-15
1073777926 Sirisha Talari Family Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2008-07-10
1609039130 Ethan Molitch-hou Internal Medicine 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207-8205 2008-07-03
1942462809 Angela Mitchell Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2008-07-01
1144489782 Toe Toe Maung Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2008-06-09
1811156680 Alexander Zimilevich Internal Medicine 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207-8205 2008-06-05
1538327952 Justin Reid Federico Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2008-06-02
1417114612 Delia Cucoranu Internal Medicine 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207-8205 2008-05-16
1952577595 Deepak Narain Scindia Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207 2008-05-04
1245417609 Prabodh Ranjan Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2008-01-29
1407035009 Mona Chiribau Internal Medicine 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207-8205 2007-10-31
1326232216 Carlos Rojas Family Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2007-09-04
1144414368 Stacey Johnston Family Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207 2007-08-30
1255524583 Savita Pai Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2007-08-21
1467643387 Allison Morgan Blanks Internal Medicine 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207-8205 2007-08-06
1942407226 Alejandro Paya Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2007-06-29
1295930543 Jamie Y Johnson Family Medicine 820 Prudential Dr Ste 304, Suite 304, Jacksonville, FL 32207-8205 2007-06-18
1881898542 Penny S Mulberry Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2007-06-14
1104029107 Angelina Denise Morales Nurse Practitioner 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2007-06-07
1699977694 Michele L. Musto Family Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2007-06-01
1639256456 Ravinder H. Singh Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2006-11-01
1013092931 Tahir Mahmood Yunus Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2006-10-26
1861581852 Jose D Ceron-fuentes Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2006-10-11
1639273790 Win Min Thu Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207 2006-09-11
1760596647 Rebecca H Andrew Internal Medicine 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207-8205 2006-08-18
1033125109 John D Davenport Internal Medicine 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207-8205 2006-07-31
1366457046 Virgilio De Padua II Internal Medicine 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 2006-07-30