Id Associates Of Jacksonville Pa

LBN: Id Associates Of Jacksonville Pa
Id Associates Of Jacksonville Pa is an health care organization with primary practice located at 2 Shircliff Way Ste 610, Jacksonville FL 32204-4753. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. Id Associates Of Jacksonville Pa can be contacted via phone (904) 387-5027, or through Montoya, Jean-Paul via phone (904) 387-5027.

Contact Information

Primary practice address
2 Shircliff Way Ste 610 Jacksonville FL 32204-4753
Phone: (904) 387-5027
Fax: (904) 387-2208
Website:
Map and Directions
Authorized official contact:
Name: Montoya, Jean-Paul Doctor of Medicine (MD)
Phone: (904) 387-5027

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X

Profile Details

NPI number 1013107077
LBN Legal business name Id Associates Of Jacksonville Pa
DBA Doing business as
Authorized official Montoya, Jean-Paul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2007
Last updated Jul 7th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013107077 NPPES
Florida MEDICAID 001362900

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