| The Doctors Center Inc | |
|
9857 Old Saint Augustine Rd Ste 1 Jacksonville FL 32257-8821 | |
| (904) 861-1900 | |
| (904) 292-9684 |
| Full Name | The Doctors Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 9857 Old Saint Augustine Rd Ste 1, Jacksonville, Florida |
| Authorized Official Name and Position | David Romanello (COO) |
| Authorized Official Contact | 3524593661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Doctors Center Inc 9857 Old Saint Augustine Rd Ste 1 Jacksonville FL 32257-8821 Ph: (904) 861-1900 | The Doctors Center Inc 9857 Old Saint Augustine Rd Ste 1 Jacksonville FL 32257-8821 Ph: (904) 861-1900 |
| NPI Number | 1053366880 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Medicare PECOS PAC ID | 9133020787 |
|---|---|
| Medicare Enrollment ID | O20040116000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053366880 | NPI | - | NPPES |
| 1018488 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 39739 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 208000000X | Pediatrics | () | Secondary |
| Provider Name | Laura J Zalcberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730256512 PECOS PAC ID: 3375566995 Enrollment ID: I20060111000322 |
| Provider Name | Ernesto L Izquierdo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629182662 PECOS PAC ID: 0547260127 Enrollment ID: I20070104000288 |
| Provider Name | Jesus M Logronio |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1437244571 PECOS PAC ID: 0345242244 Enrollment ID: I20070206000366 |
| Provider Name | Jean M Ehrhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720264294 PECOS PAC ID: 0244309979 Enrollment ID: I20080520000779 |
| Provider Name | Grace Merchant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780737197 PECOS PAC ID: 8325091135 Enrollment ID: I20130423000333 |
| Provider Name | Aquiles Martin Alvarez Bermudez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1699797423 PECOS PAC ID: 4385729284 Enrollment ID: I20131015001651 |
| Provider Name | Migdaliz Cotto Ayala |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1720286545 PECOS PAC ID: 4688977846 Enrollment ID: I20160121001011 |
| Provider Name | Daniel Urdaneta |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1649587908 PECOS PAC ID: 6507148525 Enrollment ID: I20170126000572 |
| Provider Name | Carmen Milagros Cabrera |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255310074 PECOS PAC ID: 1254300833 Enrollment ID: I20180518001815 |
| Provider Name | Pedro Pablo Aragon Amargo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487124566 PECOS PAC ID: 6002156700 Enrollment ID: I20190315001053 |
| Provider Name | Alexa Wu-chavez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1457334757 PECOS PAC ID: 5991718033 Enrollment ID: I20190507000085 |
| Provider Name | Stanley Jose Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396209466 PECOS PAC ID: 7810223385 Enrollment ID: I20190723001071 |
| Provider Name | Janice Aleman Pacheco |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1427020049 PECOS PAC ID: 0547200065 Enrollment ID: I20190823001641 |
| Provider Name | Marielita Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164053633 PECOS PAC ID: 7113338385 Enrollment ID: I20201118002409 |
| Provider Name | Michael Darren Wendt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609173236 PECOS PAC ID: 3971981879 Enrollment ID: I20220606001703 |
| Provider Name | Daniel Urdaneta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649587908 PECOS PAC ID: 6507148525 Enrollment ID: I20220824000538 |
| Provider Name | Kristen Michelle Demaggio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548019995 PECOS PAC ID: 2567902729 Enrollment ID: I20240913003253 |
| Provider Name | Amparo Judith Calderon Salom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699500892 PECOS PAC ID: 9436680147 Enrollment ID: I20241007000097 |
| Provider Name | Armine Aleksanian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821898180 PECOS PAC ID: 4082131925 Enrollment ID: I20250505002771 |
| Provider Name | Morgan Nicole Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770430787 PECOS PAC ID: 0749765535 Enrollment ID: I20260330002868 |
| Provider Name | Linh Ngoc Hoang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124901491 PECOS PAC ID: 8123521358 Enrollment ID: I20260519002545 |
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