| 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 | 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 | Mark Clarke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477513166 PECOS PAC ID: 4688663206 Enrollment ID: I20040510000463 |
| 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 | 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 | Cathy a Schan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427036318 PECOS PAC ID: 6608881834 Enrollment ID: I20060209000345 |
| Provider Name | Francis X Decandis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346358892 PECOS PAC ID: 0547276081 Enrollment ID: I20060221000770 |
| Provider Name | Kerri L Elfvin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891756904 PECOS PAC ID: 3375553936 Enrollment ID: I20060426000618 |
| 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 | 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 | Earl M Hales |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891776027 PECOS PAC ID: 0840360566 Enrollment ID: I20080605000844 |
| 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 | Ilona S Fenyo-morales |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033178363 PECOS PAC ID: 4789744939 Enrollment ID: I20081118000875 |
| Provider Name | Jacquelyn 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 | Velyn L Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366647000 PECOS PAC ID: 7012065709 Enrollment ID: I20090507000325 |
| Provider Name | Darlene Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689641755 PECOS PAC ID: 0345399671 Enrollment ID: I20090518000004 |
| Provider Name | Rodney a Fils |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285601559 PECOS PAC ID: 3476607128 Enrollment ID: I20090815000078 |
| Provider Name | Francisco J Martinez-wittinghan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568696011 PECOS PAC ID: 7810033743 Enrollment ID: I20091007000524 |
| Provider Name | Gregory G Pavlat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154551398 PECOS PAC ID: 2365588852 Enrollment ID: I20091014000541 |
| 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 | Cheryl R Jackson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194787630 PECOS PAC ID: 1658415864 Enrollment ID: I20100225000258 |
| 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 | Casey Mcclone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760688998 PECOS PAC ID: 9537214358 Enrollment ID: I20100917001118 |
| 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 | Gary Weltman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548372006 PECOS PAC ID: 8123913464 Enrollment ID: I20110321000889 |
| Provider Name | Nipa R Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154434165 PECOS PAC ID: 5890821086 Enrollment ID: I20110401000817 |
| Provider Name | Leonard J Herring |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134189772 PECOS PAC ID: 6204011018 Enrollment ID: I20110420000810 |
| 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 | Sourial Sourial |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1205148376 PECOS PAC ID: 5597937938 Enrollment ID: I20111007000381 |
| Provider Name | Marcio Mota Correa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144523739 PECOS PAC ID: 5991978199 Enrollment ID: I20111103000747 |
| 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 Linne Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801025424 PECOS PAC ID: 2860649480 Enrollment ID: I20120904000178 |
| Provider Name | Robert P Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437116464 PECOS PAC ID: 8628226156 Enrollment ID: I20120907000146 |
| Provider Name | Shenaye a Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801165105 PECOS PAC ID: 8527217801 Enrollment ID: I20121002000035 |
| 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 a 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 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 | Wilma Culi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982055364 PECOS PAC ID: 1850687906 Enrollment ID: I20160915001826 |
| Provider Name | Mabel Rivera-padilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215228267 PECOS PAC ID: 8022286814 Enrollment ID: I20161028001165 |
| Provider Name | Megan L Day |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447482898 PECOS PAC ID: 4688952112 Enrollment ID: I20161103000564 |
| Provider Name | Michelle N Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376091165 PECOS PAC ID: 4082994728 Enrollment ID: I20161214002677 |
| Provider Name | Madeline Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528499761 PECOS PAC ID: 1850677279 Enrollment ID: I20170418002863 |
| Provider Name | Adrianna a Weber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801343702 PECOS PAC ID: 7113295759 Enrollment ID: I20170622001762 |
| 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 | Stephanie Speights-sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841720240 PECOS PAC ID: 9931474301 Enrollment ID: I20171011001025 |
| Provider Name | James Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073022042 PECOS PAC ID: 7416215835 Enrollment ID: I20171212003135 |
| Provider Name | Katherine Poindexter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538673058 PECOS PAC ID: 8820358468 Enrollment ID: I20180130003157 |
| Provider Name | Shilpa 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 | Luther Quarles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215352703 PECOS PAC ID: 2668721861 Enrollment ID: I20180821003879 |
| 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 | 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 | Kristin Nichole Ramos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700356201 PECOS PAC ID: 1456697374 Enrollment ID: I20190115001429 |
| 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 | Apple-joe Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982262739 PECOS PAC ID: 0749515070 Enrollment ID: I20190709002690 |
| Provider Name | Phillips Cao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891159745 PECOS PAC ID: 7719272020 Enrollment ID: I20190718001135 |
| Provider Name | Michael Bradburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255746731 PECOS PAC ID: 3375858715 Enrollment ID: I20190731000651 |
| Provider Name | Jennifer Sanders |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578992434 PECOS PAC ID: 3779713292 Enrollment ID: I20190807001008 |
| Provider Name | Brittany NP Colson |
|---|---|
| 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 | Robert Cain |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952569303 PECOS PAC ID: 0143239327 Enrollment ID: I20191011001924 |
| 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 | Stephanie a Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861927113 PECOS PAC ID: 2466716733 Enrollment ID: I20200610001468 |
| 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 | Samidha Shreyas Bhat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982896940 PECOS PAC ID: 8426244666 Enrollment ID: I20200923001456 |
| 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 | 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 | Leidys Lorenzo Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053905018 PECOS PAC ID: 8022426667 Enrollment ID: I20210420000476 |
| 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 | John Schloff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124026992 PECOS PAC ID: 2567467855 Enrollment ID: I20210616002714 |
| Provider Name | Lucia Lintner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215292164 PECOS PAC ID: 8921253683 Enrollment ID: I20210805001532 |
| Provider Name | Sidra Asrar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508353962 PECOS PAC ID: 1254668247 Enrollment ID: I20210916001363 |
| 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 | Angel E Checa Gonzalez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1881360303 PECOS PAC ID: 5092103499 Enrollment ID: I20211103001799 |
| 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 | Winter Omega Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144897059 PECOS PAC ID: 7719377134 Enrollment ID: I20211129001657 |
| Provider Name | Brianna L Willetts |
|---|---|
| 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 | Hannah Arn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184285389 PECOS PAC ID: 3476980301 Enrollment ID: I20220914002589 |
| 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 | Abigail Christine Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558032284 PECOS PAC ID: 1759753866 Enrollment ID: I20230217000546 |
| 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 |
| Provider Name | Christine Joseph |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194409664 PECOS PAC ID: 4082058771 Enrollment ID: I20240221002733 |
| Provider Name | Monica P Mayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508517715 PECOS PAC ID: 5991199739 Enrollment ID: I20240321001413 |
| Provider Name | Batool Alatrash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326651266 PECOS PAC ID: 0749640902 Enrollment ID: I20240402001882 |
| Provider Name | Derek Flack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679923098 PECOS PAC ID: 9032403589 Enrollment ID: I20240402004505 |
| Provider Name | Brenda L Doris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104676238 PECOS PAC ID: 2466894035 Enrollment ID: I20240528003059 |
| Provider Name | Mayelin Palmero Capote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821850504 PECOS PAC ID: 5799229852 Enrollment ID: I20240628003746 |
| Provider Name | Karina M Doucet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093399511 PECOS PAC ID: 2668917022 Enrollment ID: I20240710003629 |
| Provider Name | Taylor Mcshee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154160489 PECOS PAC ID: 5597202812 Enrollment ID: I20240805002643 |
| Provider Name | Valentine C Iloduba |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871322693 PECOS PAC ID: 9436697901 Enrollment ID: I20240814004832 |
| Provider Name | Elizabeth Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619787686 PECOS PAC ID: 5597285320 Enrollment ID: I20250225000426 |
| Provider Name | Scott a Magnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164409967 PECOS PAC ID: 1052553351 Enrollment ID: I20250228001780 |
| Provider Name | Mohan Das |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194769653 PECOS PAC ID: 9739191479 Enrollment ID: I20250424000129 |
| Provider Name | Cecilia M Kipnis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063577690 PECOS PAC ID: 0941449862 Enrollment ID: I20250508002376 |
| Provider Name | Maritza C Muir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093306003 PECOS PAC ID: 6103337498 Enrollment ID: I20250613002633 |
| Provider Name | Daniel P Kuckel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518386010 PECOS PAC ID: 5799065801 Enrollment ID: I20250627001207 |
| Provider Name | Mary K Christiansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578208997 PECOS PAC ID: 4981054244 Enrollment ID: I20250703001087 |
| Provider Name | Angela Spraggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366180994 PECOS PAC ID: 5698155844 Enrollment ID: I20250711000002 |
| Provider Name | Adolfo L Langaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588453211 PECOS PAC ID: 4385151950 Enrollment ID: I20250729000757 |
| Provider Name | Jamilah Tejan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780575423 PECOS PAC ID: 6800390105 Enrollment ID: I20250918004825 |
| Provider Name | Shannon K Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255743001 PECOS PAC ID: 8628294576 Enrollment ID: I20250930001188 |
| Provider Name | Douglas Bowden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699647552 PECOS PAC ID: 2668979576 Enrollment ID: I20251007004415 |
| Provider Name | Christina V Corpus-piepenbrink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285377481 PECOS PAC ID: 0547757445 Enrollment ID: I20251014003542 |
| Provider Name | Jasmine Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871486845 PECOS PAC ID: 2860987740 Enrollment ID: I20251218000687 |
| Provider Name | Shannon E Pringle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891345302 PECOS PAC ID: 0547703852 Enrollment ID: I20260228000173 |
| Provider Name | Faridah Abdullah-gerdes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841912813 PECOS PAC ID: 3274011861 Enrollment ID: I20260530000589 |
| Provider Name | Manage Vincent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326818915 PECOS PAC ID: 8224552393 Enrollment ID: I20260612003961 |
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 |
CJ New Path Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Riverside Ave, Jacksonville, FL 32202 Phone: 904-791-6632 |
Conviva Philips Highway Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4250 Philips Hwy # 100, Jacksonville, FL 32207 Phone: 904-839-1018 Fax: 904-656-7279 |
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 |