Angel J Torres (NPI# 1235155573, PAC ID# 7315928447) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1235155573 |
| PAC ID by PECOS | 7315928447 |
| Professional Enrollment ID | I20040525001741 |
| Full Name | Angel J Torres |
| Organization Legal Name | MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC |
| Address |
1594 Kingsley Ave Orange Park FL 32073-4546 |
| Phone Number | 9042648621 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1995 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8820003411 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100226 | ORANGE PARK MEDICAL CENTER |
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| Address | Phone | Organization |
|---|---|---|
| 1731 University Blvd S, Jacksonville, FL 32216-8928 | 9047250200 | MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC |
| 9680 Argyle Forest Blvd, Suite 20, Jacksonville, FL 32222-2847 | 9043995678 | MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC |
| 1594 Kingsley Ave, Orange Park, FL 32073-4546 | 9042648621 | MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC |
| Organization Legal Name | MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Kashmer | General Surgery | Memorial Family Practice Associates, LLC | 4711 Hwy 17 S, Suite B1, Orange Park, FL 32003-8251 |
| Elizabeth Jahjah | Nurse Practitioner | Memorial Family Practice Associates, LLC | 1205 Monument Rd, Suite 203, Jacksonville, FL 32225-6482 |
| Lateya Foxx | Neuropsychiatry | Memorial Family Practice Associates, LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Aino E Mueller | Family Medicine | Memorial Family Practice Associates, LLC | 2755 Blanding Blvd, Suite 109, Middleburg, FL 32068-5629 |
| Denver D Nutter | Family Medicine | Memorial Family Practice Associates, LLC | 6111 Beach Blvd, Jacksonville, FL 32216-2751 |
| Jaya L Krishna | Family Medicine | Memorial Family Practice Associates, LLC | 8837 Goodbys Executive Dr, Jacksonville, FL 32217-4605 |
| Jack E Giddings | Family Medicine | Memorial Family Practice Associates, LLC | 1731 University Blvd S, Jacksonville, FL 32216-8928 |
| John D Deperi | General Surgery | Memorial Family Practice Associates, LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Janet F Underkofler | Physician Assistant | Memorial Family Practice Associates, LLC | 4689 Hwy 17, Suite 14, Fleming Island, FL 32003-4831 |
| Luna I Khadour | Family Medicine | Memorial Family Practice Associates, LLC | 12276 San Jose Blvd, Suite 401, Jacksonville, FL 32223-8660 |
| Street Address |
1594 KINGSLEY AVE |
| City | ORANGE PARK |
| State | FL |
| Zip | 32073-4546 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa A Cordell | Nurse Practitioner | Memorial Family Practice Associates, LLC | 1594 Kingsley Ave, Orange Park, FL 32073-4546 |
| Craig A Dolven | Family Medicine | Memorial Family Practice Associates, LLC | 1594 Kingsley Ave, Orange Park, FL 32073-4546 |
| Wilbert C Jacobs | Family Practice | Memorial Family Practice Associates, LLC | 1594 Kingsley Ave, Orange Park, FL 32073-4546 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rahman Karimi | Internal Medicine | Mcci Group Holdings LLC | 8 Blanding Blvd, Suite 20, Orange Park, FL 32073-2202 |
| Carlos R Villa | Optometry | Myeyedr Optometry of Florida, LLC | 28 Blanding Blvd, Orange Park, FL 32073-2202 |
| Robert Morris | Chiropractic | 1871 Wells Rd, Orange Park, FL 32073-2351 | |
| Ali Tabatabai | Optometry | Family First Vision Care Pllc | 1911 Wells Rd, Suite 6, Orange Park, FL 32073-2372 |
| Darren R Blom | Optometry | Family First Vision Care Pllc | 1911 Wells Rd, Suite 6, Orange Park, FL 32073-2372 |
| Shaila N Williston | Family Practice | 1700 Wells Rd, Suite 27, Orange Park, FL 32073-2374 | |
| Joseph N Salameh | Chiropractic | Jns Physicians Group LLC | 1700 Wells Rd, Orange Park, FL 32073-2374 |
| Marcus Decarvalho | Psychiatry | 1677 Wells Rd, Suite A, Orange Park, FL 32073-2383 | |
| Blake Bazel | Psychologist, Clinical | 1677 Wells Rd, Suite A, Orange Park, FL 32073-2383 | |
| Hewell B Eaves | Optometry | Mack Eye Care Pa | 88 Blanding Blvd, Orange Park, FL 32073-2601 |
| Find all physicians in zip 32073 | |||
| City | ORANGE PARK |
| Zip Code | 32073 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ORANGE PARK + PHYSICIAN ASSISTANT |
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| 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.