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NPI · 1104981398 · NPPES-sourced

Jacksonville Primary Care PA

ActiveFamily Medicine
NPI Number
1104981398
Type 2 · Organisation
Taxonomy Code
207Q00000X
Contact
(904) 737-6422
License FL · ME0046485
Last Updated
Enumerated
Primary practice addressFL · 32216-5004
6028 Bennett RdJacksonville, FL 32216-5004
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About this NPIWhat this record shows.

NPI 1104981398 is registered to Jacksonville Primary Care PA, a healthcare organisation classified as "Family Medicine" and located at 6028 Bennett Rd in Jacksonville, Florida. The organisation's authorised official is Denise Villavicencio Lazo. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jacksonville Primary Care PA accepts. To confirm in-network status with your specific health plan, contact Jacksonville Primary Care PA directly at (904) 737-6422.

Frequently asked

Yes. NPI 1104981398 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (904) 737-6422.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jacksonville Primary Care PA is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207Q00000X
Last updated
Enumerated
StatusActive
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