| Amelia Express Care, LLC | |
|
1987 S 8th St Fernandina Beach FL 32034-3071 | |
| (904) 624-7003 | |
| (904) 212-1284 |
| Full Name | Amelia Express Care, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1987 S 8th St, Fernandina Beach, Florida |
| Authorized Official Name and Position | Jacob T Logsdon (MANAGER) |
| Authorized Official Contact | 9046247003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amelia Express Care, LLC 1987 S 8th St Fernandina Beach FL 32034-3071 Ph: (904) 624-7003 | Amelia Express Care, LLC 1987 S 8th St Fernandina Beach FL 32034-3071 Ph: (904) 624-7003 |
| NPI Number | 1952701435 |
|---|---|
| Provider Enumeration Date | 09/03/2014 |
| Last Update Date | 06/15/2015 |
| Medicare PECOS PAC ID | 8628389244 |
|---|---|
| Medicare Enrollment ID | O20150623000855 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952701435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | OS10149 (Florida) | Primary |
| Provider Name | Douglas J Re |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235174830 PECOS PAC ID: 6901849579 Enrollment ID: I20050604000047 |
| Provider Name | John M Steigner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649278334 PECOS PAC ID: 5395777882 Enrollment ID: I20050906000648 |
| Provider Name | Thomas a Mackean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356318265 PECOS PAC ID: 5597788331 Enrollment ID: I20100311000157 |
| Provider Name | Andrew D Magnet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063411601 PECOS PAC ID: 7911000518 Enrollment ID: I20130924000693 |
| Provider Name | Jacob T Logsdon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386978682 PECOS PAC ID: 7416094511 Enrollment ID: I20140203001742 |
| Provider Name | Jonathan Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346391299 PECOS PAC ID: 6507954799 Enrollment ID: I20150623000993 |
| Provider Name | Leonard Mason |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912977455 PECOS PAC ID: 0446430086 Enrollment ID: I20150821014653 |
| Provider Name | Victoria Smith Kilcawley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134211097 PECOS PAC ID: 7810161767 Enrollment ID: I20180223000404 |
| Provider Name | Alana N Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417466293 PECOS PAC ID: 1355608704 Enrollment ID: I20190618001443 |
| Provider Name | Eduard Kerzhner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235657412 PECOS PAC ID: 3971869520 Enrollment ID: I20190712001177 |
| Provider Name | Jennifer Sanders |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578992434 PECOS PAC ID: 3779713292 Enrollment ID: I20190807001008 |
| Provider Name | William a Benz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528395928 PECOS PAC ID: 0941343305 Enrollment ID: I20191127000390 |
| Provider Name | James Cutia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801182100 PECOS PAC ID: 6709055353 Enrollment ID: I20201118000223 |
| Provider Name | Nasheed R Burgess |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740900539 PECOS PAC ID: 4385012566 Enrollment ID: I20221118001451 |
| Provider Name | Skye Nicholls |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881359594 PECOS PAC ID: 0648625731 Enrollment ID: I20231010000970 |
| Provider Name | Robert Gray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215480678 PECOS PAC ID: 2264711886 Enrollment ID: I20231101002607 |
| Provider Name | Charles W. Klein |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700105194 PECOS PAC ID: 2961527502 Enrollment ID: I20251008000348 |
Hospitalists of Northeast Florida Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 S 18th St, Hospitalists Of Northeast Florida Inc, Fernandina Beach, FL 32034 Phone: 904-396-5682 Fax: 904-346-0864 |
Flip Flops and Lollipops Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22455 Flora Parke Xing, Fernandina Beach, FL 32034 Phone: 904-572-1884 Fax: 904-491-1118 |
Baptist Orthopaedics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1348 S 18th St Ste 200, Fernandina Beach, FL 32034 Phone: 904-202-6683 Fax: 904-376-3062 |
Amelia Internal Medicine,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 S 18th St, Suite 202, Fernandina Beach, FL 32034 Phone: 904-277-4690 Fax: 904-277-8487 |
Baptist Primary Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1340 S 18th St Ste 202a, Fernandina Beach, FL 32034 Phone: 904-202-4325 Fax: 904-271-6741 |
Baptist Primary Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 S 14th St, Fernandina Beach, FL 32034 Phone: 904-491-3688 Fax: 904-261-6680 |