| Memorial Family Practice Associates, Llc | |
|
1731 University Blvd S Jacksonville FL 32216-8928 | |
| (904) 725-0200 | |
| (904) 721-5711 |
| Full Name | Memorial Family Practice Associates, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1731 University Blvd S, Jacksonville, Florida |
| Authorized Official Name and Position | Robert A Faile (VICE PRESIDENT) |
| Authorized Official Contact | 8439567923 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Family Practice Associates, Llc 1731 University Blvd S Jacksonville FL 32216-8928 Ph: (904) 725-0200 | Memorial Family Practice Associates, Llc 1731 University Blvd S Jacksonville FL 32216-8928 Ph: (904) 725-0200 |
| NPI Number | 1598869844 |
|---|---|
| Provider Enumeration Date | 09/08/2006 |
| Last Update Date | 04/10/2023 |
| Medicare PECOS PAC ID | 8820003411 |
|---|---|
| Medicare Enrollment ID | O20060220000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598869844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0010521 (Florida) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | George Webb |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710945944 PECOS PAC ID: 9335042035 Enrollment ID: I20040129001135 |
| Provider Name | Odalys Brito |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396765798 PECOS PAC ID: 3173583341 Enrollment ID: I20041012001252 |
| Provider Name | Jack E Giddings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083781967 PECOS PAC ID: 2466467956 Enrollment ID: I20060221000333 |
| Provider Name | Nilmarie Guzman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245390723 PECOS PAC ID: 0143221465 Enrollment ID: I20070129000471 |
| Provider Name | Lynndella H Trotter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598812406 PECOS PAC ID: 4789780321 Enrollment ID: I20070428000000 |
| Provider Name | Nikki Rowan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841354669 PECOS PAC ID: 8123112026 Enrollment ID: I20070924000121 |
| Provider Name | Anjan R Parghi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053388306 PECOS PAC ID: 2860563798 Enrollment ID: I20080619000388 |
| Provider Name | Richard J Bultman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316946189 PECOS PAC ID: 3577581982 Enrollment ID: I20090120000209 |
| Provider Name | Luna I Khadour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114925922 PECOS PAC ID: 2365508405 Enrollment ID: I20090225000638 |
| Provider Name | Daniel Bernard Groblewski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821179888 PECOS PAC ID: 9830246362 Enrollment ID: I20090420000512 |
| Provider Name | Darlene Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689641755 PECOS PAC ID: 0345399671 Enrollment ID: I20090518000004 |
| Provider Name | Jaya L Krishna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558483495 PECOS PAC ID: 4183761885 Enrollment ID: I20091029000357 |
| Provider Name | Phyllis B Toon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629058854 PECOS PAC ID: 4688718539 Enrollment ID: I20100216000860 |
| Provider Name | Carla A Schlenke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720101892 PECOS PAC ID: 7719018571 Enrollment ID: I20100623000769 |
| Provider Name | Suzanne Lorraine Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295759652 PECOS PAC ID: 5395869317 Enrollment ID: I20100827000546 |
| Provider Name | Lisa A Cordell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851600308 PECOS PAC ID: 3577746726 Enrollment ID: I20110324000797 |
| Provider Name | Victoria V Kozel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518031202 PECOS PAC ID: 8022048958 Enrollment ID: I20110406000333 |
| Provider Name | Kashif Nadeem Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760682025 PECOS PAC ID: 0941486500 Enrollment ID: I20120404000639 |
| Provider Name | Kelly T Clouse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932104288 PECOS PAC ID: 4880663947 Enrollment ID: I20120711000150 |
| Provider Name | Ubaid A Khokhar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275713935 PECOS PAC ID: 9032291240 Enrollment ID: I20120824000633 |
| Provider Name | Anthony O. Udekwu |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1912957853 PECOS PAC ID: 7810960861 Enrollment ID: I20120926000390 |
| Provider Name | Husain M Abbas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508026527 PECOS PAC ID: 3173776945 Enrollment ID: I20130102000259 |
| Provider Name | Amelia D Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316297054 PECOS PAC ID: 6709017759 Enrollment ID: I20140317000425 |
| Provider Name | Sunwook Kim-ashchi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255474359 PECOS PAC ID: 6507825403 Enrollment ID: I20140724000586 |
| Provider Name | Anika C Forbes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568690220 PECOS PAC ID: 2062632987 Enrollment ID: I20140927000190 |
| Provider Name | Jaclyn Newman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821239880 PECOS PAC ID: 3577784396 Enrollment ID: I20141021000436 |
| Provider Name | Richard Spotswood Hamilton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346220621 PECOS PAC ID: 0446553747 Enrollment ID: I20160120001695 |
| Provider Name | Craig A Dolven |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962504787 PECOS PAC ID: 4385787878 Enrollment ID: I20160202002210 |
| Provider Name | Kara Beth Wanchick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679656961 PECOS PAC ID: 2163700253 Enrollment ID: I20161024002796 |
| Provider Name | Yazan M Suradi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952600223 PECOS PAC ID: 5698055945 Enrollment ID: I20161203000201 |
| Provider Name | Sarah F Boaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588920250 PECOS PAC ID: 8921384223 Enrollment ID: I20170422000075 |
| Provider Name | Tiffany Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316280597 PECOS PAC ID: 8527356153 Enrollment ID: I20171005001238 |
| Provider Name | Nicholas D'angelo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689940595 PECOS PAC ID: 3072879105 Enrollment ID: I20171107000210 |
| Provider Name | Barbara Gracious |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275579088 PECOS PAC ID: 3971675463 Enrollment ID: I20171117002779 |
| Provider Name | Marta Klisinska |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720491251 PECOS PAC ID: 6608172226 Enrollment ID: I20171215000131 |
| Provider Name | Alexander James Crean |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1902160419 PECOS PAC ID: 6901159565 Enrollment ID: I20181029001015 |
| Provider Name | Omar M Haque |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598184954 PECOS PAC ID: 8426354853 Enrollment ID: I20181213000247 |
| Provider Name | Alicia M Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518319326 PECOS PAC ID: 9133467103 Enrollment ID: I20190218000958 |
| Provider Name | Timothy A Lattimore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699326439 PECOS PAC ID: 9335577170 Enrollment ID: I20200310001699 |
| Provider Name | Anthony M Laquidara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992313712 PECOS PAC ID: 4486072386 Enrollment ID: I20200909001577 |
| Provider Name | Samidha Shreyas Bhat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982896940 PECOS PAC ID: 8426244666 Enrollment ID: I20200923001456 |
| Provider Name | Linda M Mcmurray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093323610 PECOS PAC ID: 8426478728 Enrollment ID: I20201026000212 |
| Provider Name | Noleidy Barreto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588242168 PECOS PAC ID: 9739581851 Enrollment ID: I20210713000893 |
| Provider Name | Claudia Del Mar Behn Ojeda |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215450507 PECOS PAC ID: 6800298878 Enrollment ID: I20210713003107 |
| Provider Name | Julia Heizmann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295198901 PECOS PAC ID: 4284920307 Enrollment ID: I20211030000043 |
| Provider Name | Michael Patrick Mcdowell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740252105 PECOS PAC ID: 8628135001 Enrollment ID: I20220404002567 |
| Provider Name | James Dean Free |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396278198 PECOS PAC ID: 9739566613 Enrollment ID: I20220514000174 |
| Provider Name | Moataz Yousef Haggag |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508966565 PECOS PAC ID: 3971593633 Enrollment ID: I20220520002384 |
| Provider Name | Marilian A. Canals Rivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801356548 PECOS PAC ID: 9931434545 Enrollment ID: I20220707000338 |
| Provider Name | Jillian Keighron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922567973 PECOS PAC ID: 9032444641 Enrollment ID: I20220805001585 |
| Provider Name | Muhammad Sharifi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205326840 PECOS PAC ID: 6800149345 Enrollment ID: I20220812002376 |
| Provider Name | Nancy Elizabeth Colvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699324087 PECOS PAC ID: 2860877222 Enrollment ID: I20220921001379 |
| Provider Name | Sandra B Wooten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811654536 PECOS PAC ID: 8325414857 Enrollment ID: I20221025000159 |
| Provider Name | Benalfew Legesse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376767988 PECOS PAC ID: 3274619663 Enrollment ID: I20221027000124 |
| Provider Name | Bradley T Corbin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104259548 PECOS PAC ID: 4284963802 Enrollment ID: I20230204000194 |
| Provider Name | Olivia Rossnan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386356509 PECOS PAC ID: 0941672414 Enrollment ID: I20230209000972 |
| Provider Name | Abdelghaffar Salous |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821416793 PECOS PAC ID: 7315243888 Enrollment ID: I20230221002317 |
| Provider Name | Haesook Marino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548400724 PECOS PAC ID: 8527431527 Enrollment ID: I20230222000359 |
| Provider Name | Muniza Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811933666 PECOS PAC ID: 5698867265 Enrollment ID: I20230614000471 |
| Provider Name | David Manuel Mendoza |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760042014 PECOS PAC ID: 5698006146 Enrollment ID: I20230814002231 |
| Provider Name | Irene Moridi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164955407 PECOS PAC ID: 3971842964 Enrollment ID: I20230915000366 |
| Provider Name | Noaman Syed Ali |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114127693 PECOS PAC ID: 4183864143 Enrollment ID: I20231027000705 |
| Provider Name | Kamal Albright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396206009 PECOS PAC ID: 9032566658 Enrollment ID: I20231103000948 |
| Provider Name | Zainab Hanif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811513708 PECOS PAC ID: 6406205491 Enrollment ID: I20231215002886 |
| Provider Name | Andrew Todd Schlussel |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1588828859 PECOS PAC ID: 8224335807 Enrollment ID: I20240202000947 |
Lem Turner Family Medical Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9390 Lem Turner Rd, Jacksonville, FL 32208 Phone: 904-766-2953 Fax: 904-766-2993 | |
C. Surgery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Riverside Ave, Jacksonville, FL 32202 Phone: 904-791-6632 | |
Id Associates Of Jacksonville Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Shircliff Way, Ste 610, Jacksonville, FL 32204 Phone: 904-387-5027 Fax: 904-387-2208 | |
Hong Tek Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4123 University Blvd S, Jacksonville, FL 32216 Phone: 904-388-3351 | |
Baptist Primary Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Riverside Ave Ste 103, Jacksonville, FL 32202 Phone: 904-353-5696 Fax: 904-390-7483 | |
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 | |
Tdewellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8075 Gate Pkwy W Ste 306, Jacksonville, FL 32216 Phone: 904-862-2070 Fax: 904-508-0228 |