Ammala Cantrell (NPI# 1639159684, PAC ID# 5799717930) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1639159684 |
| PAC ID by PECOS | 5799717930 |
| Professional Enrollment ID | I20050909000545 |
| Full Name | Ammala Cantrell |
| Address |
1504 Seabreeze Ave Jacksonville Beach FL 32250-3365 |
| Phone Number | 9042497421 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100117 | BAPTIST MEDICAL CENTER BEACHES |
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| Address | Phone | Organization |
|---|---|---|
| 1504 Seabreeze Ave, Jacksonville Beach, FL 32250-3365 | 9042497421 |
| Street Address |
1504 SEABREEZE AVE |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip | 32250-3365 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John C Tanner | Addiction Medicine | 1504 Seabreeze Ave, Jacksonville Beach, FL 32250-3365 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary E Southwick-jones | Clinical Social Worker | 4300 Marsh Landing Blvd, Suite 204, Jacksonville Beach, FL 32250-1420 | |
| Candice P Ster | Clinical Social Worker | 4300 Marsh Landing Blvd, Suite 204, Jacksonville, FL 32250-1420 | |
| Selina W Beenen | Clinical Social Worker | 4300 Marsh Landing Blvd, Suite 204, Jacksonville Beach, FL 32250-1420 | |
| Kelly Gardner Rich | Family Medicine | Baptist Primary Care Inc | 14011 Beach Blvd, Suite 230, Jacksonville, FL 32250-1507 |
| Payvand Tiurchy | Family Medicine | Baptist Primary Care Inc | 14011 Beach Blvd, Suite 230, Jacksonville, FL 32250-1507 |
| Susan N Young | Psychologist, Clinical | 14286 Beach Blvd, Suite 22, Jacksonville, FL 32250-1569 | |
| Lauren Kay Smedley | Chiropractic | Cooper Chiropractic and Family Wellness Inc | 14333 Beach Blvd, Suite 2, Jacksonville, FL 32250-1587 |
| Lisa A Karr | Nurse Practitioner | Physicians Group Services Pa | 14011 Beach Blvd, Suite 120, Jacksonville, FL 32250-1695 |
| Jaclyn Taylor | Nurse Practitioner | Physicians Group Services Pa | 14011 Beach Blvd, Suite 120, Jacksonville, FL 32250-1695 |
| Howard J Green | Family Medicine | Family Care Partners of Northeast Florida LLC | 14444 Beach Blvd, Suite 27, Jacksonville, FL 32250-2079 |
| Find all physicians in zip 32250 | |||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JACKSONVILLE BEACH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ammala Cantrell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.