COGENT HEALTHCARE OF JACKSONVILLE, LLC
NPI 1003499260
Internal Medicine in Coconut Creek, FL

Q: What is Cogent Healthcare Of Jacksonville, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 04, 2021

4125 W SAMPLE RD, COCONUT CREEK, FL 33073(954) 968-8333 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2025, May 4, 2021 (2 updates tracked since 2021).

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About Cogent Healthcare Of Jacksonville, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COGENT HEALTHCARE OF JACKSONVILLE, LLC (NPI 1003499260) is a healthcare organization registered as an internal medicine in Coconut Creek, Florida and active in the NPI registry since May 2021. The organization lists Laura Fall, Manager, as its authorized official.

NPPES Registry Identity

NPI1003499260

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCOGENT HEALTHCARE OF JACKSONVILLE, LLC

Location Address4125 W SAMPLE RDCoconut Creek, FL 33073-4456

Mailing Address5410 Maryland Way Ste 300Brentwood, TN 37027-5339 · (615) 577-6340

Phone(954) 968-8333

Organization SubpartNo

Authorized OfficialLaura FallManager · (253) 682-6040

Enumeration DateMay 4, 2021

Last NPPES UpdateMarch 7, 20252 updates tracked since enumeration

NPPES CertifiedMarch 7, 2025

✔ NPI 1003499260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4125 W SAMPLE RD, Coconut Creek, FL 33073

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Other Identifiers 1

Medicaid001651535FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAVITHA KANURI MD

Physical Medicine & Rehabilitation