First Coast Medical Associates Llc
LBN: First Coast Medical Associates Llc
First Coast Medical Associates Llc is an health care organization with primary practice located at 13241 Bartram Park Blvd Unit 413 , Jacksonville FL 32258-5237. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Managed Care Organizations / Preferred Provider Organization. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
First Coast Medical Associates Llc can be contacted via phone (904) 400-6800, or through Kancha, Ravi K via phone (904) 400-6800.
Contact Information
Primary practice address
13241 Bartram Park Blvd Unit 413
Jacksonville FL 32258-5237
Phone: (904) 400-6800
Fax: (904) 400-6801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Managed Care Organizations / Preferred Provider Organization | 305R00000X | ME98044 | Florida |
Profile Details
| NPI number | 1760881163 |
|---|---|
| LBN Legal business name | First Coast Medical Associates Llc |
| DBA Doing business as | |
| Authorized official | Kancha, Ravi K Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 21st, 2014 |
| Last updated | Nov 12th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760881163 | NPPES |
| Florida | MEDICAID | 277639100 |
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