| Family Care Partners Of Northeast Florida Llc | |
|
6484 Fort Caroline Rd Jacksonville FL 32277-2042 | |
| (904) 744-7300 | |
| (904) 722-4271 |
| Full Name | Family Care Partners Of Northeast Florida Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6484 Fort Caroline Rd, Jacksonville, Florida |
| Authorized Official Name and Position | Doug Malton (CFO) |
| Authorized Official Contact | 8333093737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Partners Of Northeast Florida Llc 6900 Tavistock Lakes Blvd Ste 300 Orlando FL 32827-7592 Ph: (904) 745-3127 | Family Care Partners Of Northeast Florida Llc 6484 Fort Caroline Rd Jacksonville FL 32277-2042 Ph: (904) 744-7300 |
| NPI Number | 1750323143 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 07/12/2023 |
| Medicare PECOS PAC ID | 7214832245 |
|---|---|
| Medicare Enrollment ID | O20031203000590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750323143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME22269 (Florida) | Primary |
| Provider Name | Reginald L Sykes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790730661 PECOS PAC ID: 6002729381 Enrollment ID: I20041201000815 |
| Provider Name | Charles R Warren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154389112 PECOS PAC ID: 7911933536 Enrollment ID: I20050714000322 |
| Provider Name | Julie Fabregas-schindler |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1013906452 PECOS PAC ID: 8527081629 Enrollment ID: I20061006000168 |
| Provider Name | Howard J Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245325380 PECOS PAC ID: 6204996473 Enrollment ID: I20081118000215 |
| Provider Name | William Sessions |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669471033 PECOS PAC ID: 1052474541 Enrollment ID: I20090109000210 |
| Provider Name | Manuel A Reyes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245281708 PECOS PAC ID: 1658412507 Enrollment ID: I20100114000126 |
| Provider Name | Mohammed Mendhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487621736 PECOS PAC ID: 5890988554 Enrollment ID: I20101026001155 |
| Provider Name | Sourial M Sourial |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205148376 PECOS PAC ID: 5597937938 Enrollment ID: I20111007000381 |
| Provider Name | Fernando Parawan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649377441 PECOS PAC ID: 6800994781 Enrollment ID: I20141117000412 |
| Provider Name | Vanessa Seiglie Quinones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255647715 PECOS PAC ID: 0244527927 Enrollment ID: I20160923000200 |
| Provider Name | Ali R Afshar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083901177 PECOS PAC ID: 8325320104 Enrollment ID: I20170131002832 |
| Provider Name | Jeffrey L Vongjesda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003286824 PECOS PAC ID: 6901199645 Enrollment ID: I20170223001539 |
| Provider Name | Jonathan Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386023463 PECOS PAC ID: 1557666302 Enrollment ID: I20180612001255 |
| Provider Name | Erica Shanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952875254 PECOS PAC ID: 0547508574 Enrollment ID: I20190215002106 |
| Provider Name | Wendimere Reilly |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134643687 PECOS PAC ID: 1658704705 Enrollment ID: I20191204001885 |
| Provider Name | Dorothy Cassandra Meeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508498239 PECOS PAC ID: 2163853870 Enrollment ID: I20200513002460 |
| Provider Name | Machel S Germain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316479744 PECOS PAC ID: 6800165457 Enrollment ID: I20210827001856 |
| Provider Name | Kelly A Gendall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942418579 PECOS PAC ID: 1052469244 Enrollment ID: I20210929002584 |
| Provider Name | Kristen Suzanne Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023494275 PECOS PAC ID: 5193033488 Enrollment ID: I20211001002428 |
| Provider Name | Jarius Anderson-baylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801274766 PECOS PAC ID: 4880985134 Enrollment ID: I20211217001737 |
| Provider Name | Micaela Rae Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023654647 PECOS PAC ID: 9335536457 Enrollment ID: I20220420000632 |
| Provider Name | Suzanne Chestnut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447905179 PECOS PAC ID: 4284009457 Enrollment ID: I20230401000096 |
| Provider Name | Lauren Walter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457615684 PECOS PAC ID: 5092943829 Enrollment ID: I20230823000995 |
| Provider Name | Rene Minnaar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437552734 PECOS PAC ID: 8022397025 Enrollment ID: I20230825000058 |
| Provider Name | Noelvys Del Valle Napoles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467239509 PECOS PAC ID: 1759736689 Enrollment ID: I20231013000027 |
| Provider Name | Joshua Aaron Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720772148 PECOS PAC ID: 3779933916 Enrollment ID: I20231229001289 |
| Provider Name | Jessica Maria Andrade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619609138 PECOS PAC ID: 0345686945 Enrollment ID: I20240305004624 |
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Reginald L. Sykes, Sr, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3160 Edgewood Ave W, Jacksonville, FL 32209 Phone: 904-768-8222 Fax: 904-482-0373 | |
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