Jacksonville Multispecialty Group, Llc
LBN: Jacksonville Multispecialty Group, Llc
Jacksonville Multispecialty Group, Llc is an health care organization with primary practice located at 3627 University Blvd S Ste 615 , Jacksonville FL 32216-7401. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Jacksonville Multispecialty Group, Llc can be contacted via phone (904) 399-1623, or through Chang, Hernan Robert via phone (904) 399-1623.
Contact Information
Primary practice address
3627 University Blvd S Ste 615
Jacksonville FL 32216-7401
Phone: (904) 399-1623
Fax: (904) 399-1624
Website:
Authorized official contact:
Name: Chang, Hernan Robert Doctor of Medicine (MD)
Phone: (904) 399-1623
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Florida | |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | Florida | |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | Florida | |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ||
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | Florida |
Profile Details
| NPI number | 1609951938 |
|---|---|
| LBN Legal business name | Jacksonville Multispecialty Group, Llc |
| DBA Doing business as | |
| Authorized official | Chang, Hernan Robert Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Dec 1st, 2023 - about last year |
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 | 1609951938 | NPPES |
| Florida | MEDICAID | 001151900 |
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