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MEDMARK TREATMENT CENTERS JACKSONVILLE
NPI 1326434390
Clinic/Center - Methadone in Jacksonville, FL

Active since April 07, 2015CLIA 10D2255974 · Waiver
5600 SPRING PARK RD, SUITE 101, JACKSONVILLE, FL 32216(904) 737-5000(904) 737-5008 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2024, Feb 28, 2023, Feb 12, 2021 (3 updates tracked since 2021).

About Medmark Treatment Centers Jacksonville NPPES

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

MEDMARK TREATMENT CENTERS JACKSONVILLE (NPI 1326434390) is a healthcare organization registered as a methadone in Jacksonville, Florida and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through March 17, 2028 and lists Bruce Jarvie, Vp, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1326434390
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NamePARKSIDE CLINIC, LLC
Location Address5600 SPRING PARK RD, SUITE 101Jacksonville, FL 32216-5988
Mailing Address1720 Lakepointe Dr Ste 117Lewisville, TX 75057-6425 · (214) 379-3300
Phone(904) 737-5000
Fax(904) 737-5008
Organization SubpartNo
Authorized OfficialBruce JarvieVp, Treasurer · (214) 379-3300
Enumeration DateApril 7, 2015
Last NPPES UpdateJuly 29, 20243 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1326434390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 0416AD328501 (FL)
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
5600 SPRING PARK RD, Jacksonville, FL 32216
Open in Google Maps ↗

Other Names 1

Doing Business AsMedmark Treatment Centers Jacksonville

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2255974

Parkside Clinic, LLC Dba Medmark Treatment Centers Jacksonville · Jacksonville, FL
Active · expires Mar 17, 2028
CLIA Number10D2255974
Laboratory TypeNarcotic Tx Program
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorZehra Cumber
Laboratory Phone(904) 737-5000
Laboratory LocationParkside Clinic, LLC Dba Medmark Treatment Centers Jacksonville5600 Spring Park Road, Suite 101, Jacksonville, FL 32216
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

MS. SHAMEKA NICOLE GUERRERO LPN
Licensed Practical Nurse
5600 SPRING PARK RD
JACKSONVILLE, FL 32216
Duval County (904) 737-5000
KELLI MARIE WELSHEIMER PT
Physical Therapist
5600 SPRING PARK RD, SUITE 100
JACKSONVILLE, FL 32216
Duval County (904) 399-5959
ROBERT M CHAPA SR. M.D.
Preventive Medicine (Occupational Medicine)
5600 SPRING PARK RD, SUITE 200
JACKSONVILLE, FL 32216
Duval County (904) 379-1203

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 Parkside Clinic, LLC's NPI number?

The NPI number for Parkside Clinic, LLC is 1326434390. It was assigned to this organization in the NPPES registry on April 7, 2015. The provider is doing business as Medmark Treatment Centers Jacksonville.

Where is Parkside Clinic, LLC located?

Parkside Clinic, LLC is located at 5600 Spring Park Rd Suite 101, Jacksonville, FL 32216. The listed phone number is (904) 737-5000.

What is Parkside Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Parkside Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2255974) is associated with this NPI, valid through March 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Parkside Clinic, LLC was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.