1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Family Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GREDYMAR PATRICIA MARIN TOVAR MD
NPI 1104520402
Family Medicine in Jacksonville, FL

Active since March 29, 2023PECOS Enrolled
11851 STILLWOOD PINES BLVD STE 103, JACKSONVILLE, FL 32224(904) 376-4935(904) 376-3218 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2026, Jul 23, 2026, Jul 10, 2023 and 1 more (4 updates tracked since 2023).

About Gredymar Patricia Marin Tovar Md NPPES

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

GREDYMAR PATRICIA MARIN TOVAR MD (NPI 1104520402) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (ME181900) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104520402
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGREDYMAR PATRICIA MARIN TOVARCredential: MD
Location Address11851 STILLWOOD PINES BLVD STE 103Jacksonville, FL 32224-4435
Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-2092 · Fax (904) 376-4075
Phone(904) 376-4935
Fax(904) 376-3218
Sole ProprietorNo
Enumeration DateMarch 29, 2023
Last NPPES UpdateJuly 31, 20264 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1104520402 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 · ME181900✔ Licensed in GA · 15053
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.
11851 STILLWOOD PINES BLVD STE 103, Jacksonville, FL 32224
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gredymar Patricia Marin Tovar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. ABRAHAM M QUADER D.O.
Family Medicine
11851 STILLWOOD PINES BLVD STE 103
JACKSONVILLE, FL 32224
Duval County (904) 376-4935

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 Gredymar Marin Tovar's NPI number?

The NPI number for Gredymar Marin Tovar is 1104520402. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Gredymar Marin Tovar located?

Gredymar Marin Tovar practices at 11851 Stillwood Pines Blvd Ste 103, Jacksonville, FL 32224. The listed phone number is (904) 376-4935.

What is Gredymar Marin Tovar's specialty?

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

Is Gredymar Marin Tovar enrolled in Medicare?

Yes. Gredymar Marin Tovar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gredymar Marin Tovar was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.