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WEST JAX SKILLED NURSING
NPI 1063898864
Family Medicine in Ponte Vedra Beach, FL

Active since August 04, 2015
100 CYPRESS LAGOON CT, PONTE VEDRA BEACH, FL 32082(904) 783-2405(904) 786-4981 Get Directions Write a Review

NPPES record last updated: August 4, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About West Jax Skilled Nursing NPPES

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

WEST JAX SKILLED NURSING (NPI 1063898864) is a healthcare organization registered as a family medicine in Ponte Vedra Beach, Florida and active in the NPI registry since August 2015. The organization lists Michael Victor Sharpe, Supervisor, as its authorized official.

NPPES Registry Identity

NPI1063898864
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWEST JAX SKILLED NURSING
Location Address100 CYPRESS LAGOON CTPonte Vedra Beach, FL 32082-2106
Mailing Address100 Cypress Lagoon CtPonte Vedra Beach, FL 32082-2106 · (904) 783-2405 · Fax (904) 786-4981
Phone(904) 783-2405
Fax(904) 786-4981
Organization SubpartNo
Authorized OfficialMichael Victor SharpeSupervisor · (904) 783-2405
Enumeration DateAugust 4, 2015
✔ NPI 1063898864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · 1750382669✔ Licensed in FL · 1285048280
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 CYPRESS LAGOON CT, Ponte Vedra Beach, FL 32082
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Other Identifiers 2

Medicare UPIN04127TFL
Medicaid620455400FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is West Jax Skilled Nursing's NPI number?

The NPI number for West Jax Skilled Nursing is 1063898864. It was assigned to this organization in the NPPES registry on August 4, 2015.

Where is West Jax Skilled Nursing located?

West Jax Skilled Nursing is located at 100 Cypress Lagoon Ct, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 783-2405.

What is West Jax Skilled Nursing's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for West Jax Skilled Nursing was last updated on August 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.