JACKSONVILLE PHYSICAL MEDICINE LLC
NPI 1205174695
Internal Medicine in Jacksonville, FL

Active since January 21, 2013
7860 GATE PKWY STE 106, JACKSONVILLE, FL 32256(904) 619-2703(904) 619-2837 Get Directions Write a Review

NPPES record last updated: January 21, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacksonville Physical Medicine Llc NPPES

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

JACKSONVILLE PHYSICAL MEDICINE LLC (NPI 1205174695) is a healthcare organization registered as an internal medicine in Jacksonville, Florida and active in the NPI registry since January 2013. The organization lists Jeremiah W. Carlson, Owner, as its authorized official.

NPPES Registry Identity

NPI1205174695
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJACKSONVILLE PHYSICAL MEDICINE LLC
Location Address7860 GATE PKWY STE 106Jacksonville, FL 32256-7280
Mailing Address7860 Gate Pkwy Ste 106Jacksonville, FL 32256-7280 · (904) 619-2703 · Fax (904) 619-2837
Fax(904) 619-2837
Organization SubpartNo
Authorized OfficialJeremiah W. CarlsonOwner · (904) 619-2703
Enumeration DateJanuary 21, 2013
NPI 1205174695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME88018
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.
Also ListedNurse PractitionerTaxonomy 363L00000X · License ARNP9278608 (FL)
7860 GATE PKWY STE 106, Jacksonville, FL 32256

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 3

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

Chiropractor
7860 GATE PKWY STE 106
JACKSONVILLE, FL 32256
General Practice
7860 GATE PKWY STE 106
JACKSONVILLE, FL 32256
Massage Therapist
7860 GATE PKWY STE 106
JACKSONVILLE, FL 32256

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 Physical Medicine LLC's NPI number?

The NPI number for Jacksonville Physical Medicine LLC is 1205174695. It was assigned to this organization in the NPPES registry on January 21, 2013.

Where is Jacksonville Physical Medicine LLC located?

Jacksonville Physical Medicine LLC is located at 7860 Gate Pkwy Ste 106, Jacksonville, FL 32256. The listed phone number is (904) 619-2703.

What is Jacksonville Physical Medicine LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacksonville Physical Medicine LLC was last updated on January 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.