| Ufjp Chfm | |
|
1255 Lila St Ufjp Lem Turner Family Practice Center Jacksonville FL 32208-3550 | |
| (904) 383-1001 | |
| Not Available |
| Full Name | Ufjp Chfm |
|---|---|
| Speciality | Family Medicine |
| Location | 1255 Lila St, Jacksonville, Florida |
| Authorized Official Name and Position | Guy I Benrubi (CEO/VICE PRESIDENT) |
| Authorized Official Contact | 9042443109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ufjp Chfm Po Box 44008 Ufjp Provider Enrollment Jacksonville FL 32231-4008 Ph: () - | Ufjp Chfm 1255 Lila St Ufjp Lem Turner Family Practice Center Jacksonville FL 32208-3550 Ph: (904) 383-1001 |
| NPI Number | 1487814752 |
|---|---|
| Provider Enumeration Date | 06/11/2008 |
| Last Update Date | 11/18/2009 |
| Medicare PECOS PAC ID | 9133025869 |
|---|---|
| Medicare Enrollment ID | O20050414000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487814752 | NPI | - | NPPES |
| Provider Name | Amra Hadzic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821065194 PECOS PAC ID: 9032009162 Enrollment ID: I20040319001109 |
| Provider Name | Curtis E Wilkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730131046 PECOS PAC ID: 0042274805 Enrollment ID: I20041115000320 |
| Provider Name | Judella E Haddad Lacle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851351050 PECOS PAC ID: 9739134735 Enrollment ID: I20050312000050 |
| Provider Name | Mahrukh Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922068592 PECOS PAC ID: 6002854023 Enrollment ID: I20050420000974 |
| Provider Name | Judive Jocelyn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922027341 PECOS PAC ID: 6305886854 Enrollment ID: I20050504000856 |
| Provider Name | Timea Kecskemeti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821028739 PECOS PAC ID: 2668403072 Enrollment ID: I20050825000604 |
| Provider Name | Edgar Alvarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427018688 PECOS PAC ID: 1456364991 Enrollment ID: I20060728000189 |
| Provider Name | Donald H Auerbach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104824325 PECOS PAC ID: 5496857997 Enrollment ID: I20070302000017 |
| Provider Name | Ebony N Pratt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740243377 PECOS PAC ID: 0648281667 Enrollment ID: I20070402000174 |
| Provider Name | Fauzia N Rana |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639138100 PECOS PAC ID: 6800990508 Enrollment ID: I20070409000017 |
| Provider Name | Miguel A Rosada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881650539 PECOS PAC ID: 0941305882 Enrollment ID: I20070420000363 |
| Provider Name | Mar Antonio Jaminal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457411100 PECOS PAC ID: 1951493428 Enrollment ID: I20070828001141 |
| Provider Name | Alexanderia O Burwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679613343 PECOS PAC ID: 6901994243 Enrollment ID: I20071120000170 |
| Provider Name | Holly L Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760522403 PECOS PAC ID: 5597669184 Enrollment ID: I20071212000122 |
| Provider Name | Subashini Anand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043370752 PECOS PAC ID: 7719077395 Enrollment ID: I20071219000655 |
| Provider Name | Janet B Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588631501 PECOS PAC ID: 3072697549 Enrollment ID: I20080221000386 |
| Provider Name | Robert M Chapa |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1588780928 PECOS PAC ID: 7810068178 Enrollment ID: I20080616000103 |
| Provider Name | Vincent H Ober |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669432423 PECOS PAC ID: 2365500055 Enrollment ID: I20081027000011 |
| Provider Name | Jacquelyn Danette Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558536490 PECOS PAC ID: 4587724307 Enrollment ID: I20081124000096 |
| Provider Name | Louis Registre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720056237 PECOS PAC ID: 2668534611 Enrollment ID: I20081229000490 |
| Provider Name | Karon R Rivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720228026 PECOS PAC ID: 6901953108 Enrollment ID: I20090403000364 |
| Provider Name | Darlene Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689641755 PECOS PAC ID: 0345399671 Enrollment ID: I20090518000004 |
| Provider Name | Francisco Martinez-wittinghan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568696011 PECOS PAC ID: 7810033743 Enrollment ID: I20091007000524 |
| Provider Name | Monique D Bosque-perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659543981 PECOS PAC ID: 0042357345 Enrollment ID: I20091019000460 |
| Provider Name | Juan C Fuentes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487855987 PECOS PAC ID: 3274693783 Enrollment ID: I20100310000209 |
| Provider Name | Lynn M Waters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487840633 PECOS PAC ID: 5395871958 Enrollment ID: I20100407000510 |
| Provider Name | Cornelia M Mccullough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316191745 PECOS PAC ID: 1557490042 Enrollment ID: I20100520000969 |
| Provider Name | Patricia Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124083464 PECOS PAC ID: 2062545015 Enrollment ID: I20100728000764 |
| Provider Name | Alex Brown |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1700902434 PECOS PAC ID: 0749472900 Enrollment ID: I20101006000265 |
| Provider Name | Eric Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942278148 PECOS PAC ID: 7618160425 Enrollment ID: I20101025000349 |
| Provider Name | Brent E Seibel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881660843 PECOS PAC ID: 3971783952 Enrollment ID: I20110208000739 |
| Provider Name | Hamid U Rahman Khalili |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609194653 PECOS PAC ID: 0042492613 Enrollment ID: I20110303000680 |
| Provider Name | Steven Dimmitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164481503 PECOS PAC ID: 0941482814 Enrollment ID: I20110314000773 |
| Provider Name | Marcia W Funderburk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003875345 PECOS PAC ID: 6901089572 Enrollment ID: I20110321000547 |
| Provider Name | Nipa R Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154434165 PECOS PAC ID: 5890821086 Enrollment ID: I20110401000817 |
| Provider Name | Farah Malik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871523894 PECOS PAC ID: 5890971154 Enrollment ID: I20110520000584 |
| Provider Name | Charles J Haddad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366402935 PECOS PAC ID: 7315123502 Enrollment ID: I20110524000627 |
| Provider Name | William C Solomon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881663987 PECOS PAC ID: 9638355829 Enrollment ID: I20110524000687 |
| Provider Name | Bradley A Briscoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689645020 PECOS PAC ID: 6507034535 Enrollment ID: I20110719000322 |
| Provider Name | Lorenzo M Corpus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689641110 PECOS PAC ID: 5496924862 Enrollment ID: I20110802000253 |
| Provider Name | Nicole D Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306000708 PECOS PAC ID: 8527239540 Enrollment ID: I20110923000415 |
| Provider Name | Tracie C Rutledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447524012 PECOS PAC ID: 6800784232 Enrollment ID: I20120518000310 |
| Provider Name | Ross E Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700019189 PECOS PAC ID: 0840447116 Enrollment ID: I20120822000410 |
| Provider Name | Takaya L Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801025424 PECOS PAC ID: 2860649480 Enrollment ID: I20120904000178 |
| Provider Name | Angelique M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518201300 PECOS PAC ID: 8123270329 Enrollment ID: I20121217000236 |
| Provider Name | Martha M Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932448321 PECOS PAC ID: 3476799131 Enrollment ID: I20130424001067 |
| Provider Name | Natasha N Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437594520 PECOS PAC ID: 4183865645 Enrollment ID: I20130725000240 |
| Provider Name | Kerri C Jarrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013349604 PECOS PAC ID: 6204070774 Enrollment ID: I20130924000134 |
| Provider Name | Pradeep Khanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659705762 PECOS PAC ID: 7719112101 Enrollment ID: I20131018001342 |
| Provider Name | Paul Salzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831524701 PECOS PAC ID: 8426283706 Enrollment ID: I20131022000479 |
| Provider Name | Coreen M Rogerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992864953 PECOS PAC ID: 3870720477 Enrollment ID: I20131205000389 |
| Provider Name | Nanako Broughton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386710184 PECOS PAC ID: 5799723771 Enrollment ID: I20140328001894 |
| Provider Name | Aisha M Ladson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598181224 PECOS PAC ID: 8921221144 Enrollment ID: I20140515001260 |
| Provider Name | Margo R Walton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427476472 PECOS PAC ID: 5092938845 Enrollment ID: I20140522002013 |
| Provider Name | Victoria Udongwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962820738 PECOS PAC ID: 2769606177 Enrollment ID: I20140604002091 |
| Provider Name | Heather Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437565801 PECOS PAC ID: 2860614898 Enrollment ID: I20141106002107 |
| Provider Name | Cameron Jelks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477957603 PECOS PAC ID: 4082936323 Enrollment ID: I20141124000587 |
| Provider Name | Doris Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578967618 PECOS PAC ID: 9436474491 Enrollment ID: I20150213001807 |
| Provider Name | Lidia S Dalessandro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700268992 PECOS PAC ID: 0446564413 Enrollment ID: I20150804005298 |
| Provider Name | Portia Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396134904 PECOS PAC ID: 0547575052 Enrollment ID: I20150812008858 |
| Provider Name | Jeremy L Coleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467742957 PECOS PAC ID: 6103053939 Enrollment ID: I20150908001433 |
| Provider Name | Michelle Lynn Pendleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134596802 PECOS PAC ID: 9638487333 Enrollment ID: I20150929003431 |
| Provider Name | Laverne Webster Dowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306222419 PECOS PAC ID: 7618165952 Enrollment ID: I20151001001345 |
| Provider Name | Jamila Mainor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508052754 PECOS PAC ID: 6103019328 Enrollment ID: I20160615002118 |
| Provider Name | Aleena Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689022030 PECOS PAC ID: 4284920935 Enrollment ID: I20160907001635 |
| Provider Name | Heather Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700223195 PECOS PAC ID: 9537455050 Enrollment ID: I20160909001611 |
| Provider Name | Wilma Culi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982055364 PECOS PAC ID: 1850687906 Enrollment ID: I20160915001826 |
| Provider Name | Madeline Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528499761 PECOS PAC ID: 1850677279 Enrollment ID: I20170418002863 |
| Provider Name | Javawnya Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306376256 PECOS PAC ID: 8729350418 Enrollment ID: I20170815002878 |
| Provider Name | Ashley Renee Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699204966 PECOS PAC ID: 8224301213 Enrollment ID: I20170913003938 |
| Provider Name | Bradley Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508388240 PECOS PAC ID: 7416221353 Enrollment ID: I20170915003027 |
| Provider Name | Naderge Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194235044 PECOS PAC ID: 5092072108 Enrollment ID: I20171128001803 |
| Provider Name | Shilpa H Amin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790888162 PECOS PAC ID: 5597669606 Enrollment ID: I20180226000373 |
| Provider Name | Tara Renee Blackshear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881199396 PECOS PAC ID: 7214292895 Enrollment ID: I20180531002699 |
| Provider Name | Sholem Michael Palevsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477063618 PECOS PAC ID: 7416202791 Enrollment ID: I20180611001947 |
| Provider Name | Irina Eugenievna Boldt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225471873 PECOS PAC ID: 4688974959 Enrollment ID: I20180703002934 |
| Provider Name | Rosemary T Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306392949 PECOS PAC ID: 9234427287 Enrollment ID: I20180718004017 |
| Provider Name | Tanielle B Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043690894 PECOS PAC ID: 4981970605 Enrollment ID: I20180827001847 |
| Provider Name | Ma Glenda Abac Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235636192 PECOS PAC ID: 9638429624 Enrollment ID: I20180913000062 |
| Provider Name | Otis Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629561451 PECOS PAC ID: 5890046791 Enrollment ID: I20180914001746 |
| Provider Name | Johnnie Bradley-goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306322656 PECOS PAC ID: 0042561078 Enrollment ID: I20181001002367 |
| Provider Name | Gretta Elaine Langley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194214148 PECOS PAC ID: 1153673504 Enrollment ID: I20181011002959 |
| Provider Name | Jekeva Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154817302 PECOS PAC ID: 2567715360 Enrollment ID: I20181024002265 |
| Provider Name | Heather Kristen Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871002253 PECOS PAC ID: 6709120686 Enrollment ID: I20181204000737 |
| Provider Name | Chelsea Tepedino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972829299 PECOS PAC ID: 4486998036 Enrollment ID: I20181207002024 |
| Provider Name | Hans R Crevecoeur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851878896 PECOS PAC ID: 1759620032 Enrollment ID: I20190304002163 |
| Provider Name | Glinda Wortham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790249092 PECOS PAC ID: 2961741822 Enrollment ID: I20190312000560 |
| Provider Name | Tanza L Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396204871 PECOS PAC ID: 9234470683 Enrollment ID: I20190411001458 |
| Provider Name | Daidre Azueta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396195400 PECOS PAC ID: 3577842491 Enrollment ID: I20190516001510 |
| Provider Name | Amanda Salzburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598243297 PECOS PAC ID: 1456694264 Enrollment ID: I20190520000391 |
| Provider Name | Phillips Cao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891159745 PECOS PAC ID: 7719272020 Enrollment ID: I20190718001135 |
| Provider Name | Michael Joseph Bradburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255746731 PECOS PAC ID: 3375858715 Enrollment ID: I20190731000651 |
| Provider Name | Brittany Np Mcnutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750940912 PECOS PAC ID: 4486981552 Enrollment ID: I20190812003706 |
| Provider Name | Kanthi Dhaduvai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245613942 PECOS PAC ID: 3870840762 Enrollment ID: I20190912000871 |
| Provider Name | Kadijo A Wade-thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558711689 PECOS PAC ID: 4789963562 Enrollment ID: I20191009003536 |
| Provider Name | Maham Jalil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780137604 PECOS PAC ID: 8325301518 Enrollment ID: I20191021001601 |
| Provider Name | Paris Gilbert Russ Kenzo Aaron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871079111 PECOS PAC ID: 3173955135 Enrollment ID: I20191112002344 |
| Provider Name | Charlotte Bedsole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922652874 PECOS PAC ID: 2668809401 Enrollment ID: I20200217004127 |
| Provider Name | Manuel Gervasio Ruiz Dicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184130916 PECOS PAC ID: 1850729625 Enrollment ID: I20200311000050 |
| Provider Name | Chiara Wesley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992260228 PECOS PAC ID: 2567890072 Enrollment ID: I20200317000249 |
| Provider Name | Vonceil Levine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588161582 PECOS PAC ID: 1456780444 Enrollment ID: I20200326000385 |
| Provider Name | Weston Dean Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366069239 PECOS PAC ID: 1254756737 Enrollment ID: I20200730002421 |
| Provider Name | Nicholas J Stagliano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669965703 PECOS PAC ID: 6608114772 Enrollment ID: I20200731001383 |
| Provider Name | Noel Roman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255956371 PECOS PAC ID: 5294153516 Enrollment ID: I20200917001667 |
| Provider Name | Jessica Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386019271 PECOS PAC ID: 7113346560 Enrollment ID: I20201005000071 |
| Provider Name | Victor Yosef Melt Campos |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1942703525 PECOS PAC ID: 9931529203 Enrollment ID: I20201104000737 |
| Provider Name | Christine Orr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609238484 PECOS PAC ID: 9931510294 Enrollment ID: I20201118001500 |
| Provider Name | Cathy Angelina Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225507874 PECOS PAC ID: 0446588826 Enrollment ID: I20210127001318 |
| Provider Name | Latonia Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518582071 PECOS PAC ID: 3971919309 Enrollment ID: I20210310001426 |
| Provider Name | Elisha Tomasko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932727302 PECOS PAC ID: 8022427194 Enrollment ID: I20210503001667 |
| Provider Name | Deborah Peacock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457933012 PECOS PAC ID: 1658780267 Enrollment ID: I20210512001237 |
| Provider Name | Lucia Lintner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215292164 PECOS PAC ID: 8921253683 Enrollment ID: I20210805001532 |
| Provider Name | Sherry Denise Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952992802 PECOS PAC ID: 9537567896 Enrollment ID: I20211018001873 |
| Provider Name | Tatiana V Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912049644 PECOS PAC ID: 7012283526 Enrollment ID: I20211027002889 |
| Provider Name | Tisa Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164031894 PECOS PAC ID: 1456740638 Enrollment ID: I20211109001353 |
| Provider Name | Ariadna Cabrera Gongora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780347203 PECOS PAC ID: 0547659682 Enrollment ID: I20211111001818 |
| Provider Name | Bartholomew Ndife |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407526411 PECOS PAC ID: 4587053012 Enrollment ID: I20211122002667 |
| Provider Name | Shaneika L Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447821509 PECOS PAC ID: 2365831856 Enrollment ID: I20211123001858 |
| Provider Name | Winter Omega Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144897059 PECOS PAC ID: 7719377134 Enrollment ID: I20211129001657 |
| Provider Name | Brianna Bieber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962166397 PECOS PAC ID: 8224421318 Enrollment ID: I20220214001430 |
| Provider Name | Melinda Paramore-hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447914650 PECOS PAC ID: 3971996976 Enrollment ID: I20220216000889 |
| Provider Name | Brandy S Fulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043873441 PECOS PAC ID: 8426480047 Enrollment ID: I20220223002076 |
| Provider Name | Brett J Lawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205369154 PECOS PAC ID: 0648539494 Enrollment ID: I20220305000109 |
| Provider Name | Kevin Hornbeck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366434268 PECOS PAC ID: 0840293460 Enrollment ID: I20220721001974 |
| Provider Name | Miranda King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184382137 PECOS PAC ID: 6709267164 Enrollment ID: I20220722002406 |
| Provider Name | Jared Woodings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518696970 PECOS PAC ID: 0547641433 Enrollment ID: I20220725000820 |
| Provider Name | Heather Nicole Hendley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528546553 PECOS PAC ID: 5193191526 Enrollment ID: I20221026000803 |
| Provider Name | Susana M Cassaglia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467997437 PECOS PAC ID: 6709254428 Enrollment ID: I20221130000201 |
| Provider Name | Christian Crowe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225651888 PECOS PAC ID: 1658798665 Enrollment ID: I20230523002150 |
| Provider Name | Kelsey R Henry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841817772 PECOS PAC ID: 0547686479 Enrollment ID: I20230821001835 |
| Provider Name | Angella Y Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174205058 PECOS PAC ID: 0143675454 Enrollment ID: I20231005003736 |
| Provider Name | Alexis N Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477232437 PECOS PAC ID: 3173979101 Enrollment ID: I20231027002066 |
| Provider Name | Vicki M Fong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417729096 PECOS PAC ID: 0749353654 Enrollment ID: I20240209002751 |
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 |