Jacksonville Physical Medicine Llc

LBN: Jacksonville Physical Medicine Llc
Jacksonville Physical Medicine Llc is an health care organization with primary practice located at 7860 Gate Pkwy Ste 106 , Jacksonville FL 32256-7280. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Jacksonville Physical Medicine Llc can be contacted via phone (904) 619-2703, or through Carlson, Jeremiah W. via phone (904) 619-2703.

Contact Information

Primary practice address
7860 Gate Pkwy Ste 106 Jacksonville FL 32256-7280
Phone: (904) 619-2703
Fax: (904) 619-2837
Website:
Map and Directions
Authorized official contact:
Name: Carlson, Jeremiah W.
Phone: (904) 619-2703

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME88018 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9278608 Florida

Profile Details

NPI number 1205174695
LBN Legal business name Jacksonville Physical Medicine Llc
DBA Doing business as
Authorized official Carlson, Jeremiah W.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 21st, 2013
Last updated Jan 21st, 2013 - about 12 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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