| American Care Of North Florida, Inc | |
|
1918 Blanding Blvd Jacksonville FL 32210-3202 | |
| (305) 278-0200 | |
| (786) 235-0145 |
| Full Name | American Care Of North Florida, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1918 Blanding Blvd, Jacksonville, Florida |
| Authorized Official Name and Position | Jose E Garcia (PRESIDENT) |
| Authorized Official Contact | 3052780200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Care Of North Florida, Inc 11255 Sw 211th St Miami FL 33189-2240 Ph: (305) 278-0200 | American Care Of North Florida, Inc 1918 Blanding Blvd Jacksonville FL 32210-3202 Ph: (305) 278-0200 |
| NPI Number | 1053679787 |
|---|---|
| Provider Enumeration Date | 05/01/2012 |
| Last Update Date | 06/30/2020 |
| Medicare PECOS PAC ID | 2567681075 |
|---|---|
| Medicare Enrollment ID | O20140916001072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053679787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME53888 (Florida) | Primary |
| Provider Name | Jose E Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477648293 PECOS PAC ID: 0547287997 Enrollment ID: I20051118000091 |
| Provider Name | Aida Winter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609009083 PECOS PAC ID: 5890914311 Enrollment ID: I20140916001598 |
| Provider Name | Pamela Suzanne Callan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316323587 PECOS PAC ID: 0042520744 Enrollment ID: I20151109002463 |
| Provider Name | Dena Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982159190 PECOS PAC ID: 0244500304 Enrollment ID: I20170721001874 |
| Provider Name | Edgardo Davila |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1295949808 PECOS PAC ID: 5698041887 Enrollment ID: I20171016000825 |
| Provider Name | Marlena Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477008837 PECOS PAC ID: 5294092169 Enrollment ID: I20171130002248 |
| Provider Name | Marla V Villar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1992817548 PECOS PAC ID: 3173518248 Enrollment ID: I20171205000488 |
| Provider Name | Rosa Daisy Maytin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972068708 PECOS PAC ID: 7416298872 Enrollment ID: I20190411001984 |
| Provider Name | Natasha T Ingram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922572023 PECOS PAC ID: 4082956719 Enrollment ID: I20190430001271 |
| Provider Name | Lorena Radney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982901807 PECOS PAC ID: 7012259674 Enrollment ID: I20190430002933 |
| Provider Name | Joel A Marmolejos Nunez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093270423 PECOS PAC ID: 9739421975 Enrollment ID: I20190508001908 |
| Provider Name | Ardian Kraja |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346729720 PECOS PAC ID: 1658600713 Enrollment ID: I20190916000742 |
| Provider Name | Leidys Lorenzo Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053905018 PECOS PAC ID: 8022426667 Enrollment ID: I20210420000476 |
| Provider Name | Angel E Checa Gonzalez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1881360303 PECOS PAC ID: 5092103499 Enrollment ID: I20211103001799 |
| Provider Name | Mechelle Caswell Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699438812 PECOS PAC ID: 1951793082 Enrollment ID: I20220121000546 |
| Provider Name | Maria Fe Guboc Rufano-sulit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881293868 PECOS PAC ID: 6002209004 Enrollment ID: I20220216001207 |
| Provider Name | Karina E Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245988047 PECOS PAC ID: 2466848940 Enrollment ID: I20220409000224 |
| Provider Name | Orlando Betancourt Sanz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457018145 PECOS PAC ID: 9335535814 Enrollment ID: I20220409000443 |
| Provider Name | Djephlie Calixte Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972167716 PECOS PAC ID: 8628457884 Enrollment ID: I20220617000445 |
| Provider Name | Yunaisy Ceballo Hidalgo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1457098907 PECOS PAC ID: 8820452626 Enrollment ID: I20230912004246 |
| Provider Name | Jose Caceres Barris |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184361479 PECOS PAC ID: 5193172641 Enrollment ID: I20231106002453 |
| Provider Name | Henriette B Bertheau Avila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740055201 PECOS PAC ID: 8820449499 Enrollment ID: I20240108004620 |
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