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:
Map and Directions
Authorized official contact:
Name: Chang, Hernan Robert Doctor of Medicine (MD)
Phone: (904) 399-1623

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609951938 NPPES
Florida MEDICAID 001151900

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