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JACKSONVILLE PRIMARY CARE PA
NPI 1104981398
Family Medicine in Jacksonville, FL

Active since December 27, 2006
8016 ATLANTIC BLVD, JACKSONVILLE, FL 32211(904) 838-7581 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacksonville Primary Care Pa NPPES

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

JACKSONVILLE PRIMARY CARE PA (NPI 1104981398) is a healthcare organization registered as a family medicine in Jacksonville, Florida and active in the NPI registry since December 2006. The organization lists Ciceron Lazo, President, as its authorized official.

NPPES Registry Identity

NPI1104981398
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJACKSONVILLE PRIMARY CARE PA
Location Address8016 ATLANTIC BLVDJacksonville, FL 32211-8751
Mailing Address8016 Atlantic BlvdJacksonville, FL 32211-8751 · (904) 838-7581
Phone(904) 838-7581
Organization SubpartNo
Authorized OfficialCiceron LazoPresident · (904) 838-7581
Enumeration DateDecember 27, 2006
Last NPPES UpdateJune 3, 2026
NPPES CertifiedJune 3, 2026
✔ NPI 1104981398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME0046485
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.
8016 ATLANTIC BLVD, Jacksonville, FL 32211
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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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Other Providers at the Same Location NPPES 5

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

ASHLEY BRADLEY BCBA
Behavior Analyst
8016 ATLANTIC BLVD
JACKSONVILLE, FL 32211
Duval County (904) 329-3317
STEPHANIE WILKES
Behavior Analyst
8016 ATLANTIC BLVD
JACKSONVILLE, FL 32211
Duval County (904) 329-3317
RESA DEMINT B.S. BCABA
Behavior Analyst
8016 ATLANTIC BLVD
JACKSONVILLE, FL 32211
Duval County (904) 329-3317
SEAN MCMAHON BCBA
Behavior Analyst
8016 ATLANTIC BLVD
JACKSONVILLE, FL 32211
Duval County (904) 329-3317
CICERON LAZO MD
Family Medicine
8016 ATLANTIC BLVD
JACKSONVILLE, FL 32211
Duval County (904) 619-8687

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 Jacksonville Primary Care PA's NPI number?

The NPI number for Jacksonville Primary Care PA is 1104981398. It was assigned to this organization in the NPPES registry on December 27, 2006.

Where is Jacksonville Primary Care PA located?

Jacksonville Primary Care PA is located at 8016 Atlantic Blvd, Jacksonville, FL 32211. The listed phone number is (904) 838-7581.

What is Jacksonville Primary Care PA's specialty?

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

What insurance does Jacksonville Primary Care PA accept?

Health plans from AvMed list Jacksonville Primary Care PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacksonville Primary Care PA was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.