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PREMISE HEALTH OF FLORIDA MEDICAL PA
NPI 1407179161
Clinic/Center in Jacksonville, FL

Active since March 10, 2010CLIA 10D2004412 · Waiver
7500 CENTURION PKWY STE 100, JACKSONVILLE, FL 32256(904) 443-1100(904) 328-5799 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2026, Aug 15, 2022, Sep 9, 2020 and 2 more (5 updates tracked since 2020).

About Premise Health Of Florida Medical Pa NPPES

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

PREMISE HEALTH OF FLORIDA MEDICAL PA (NPI 1407179161), doing business as Vistakon Health Center, is a healthcare organization registered as a clinic/center in Jacksonville, Florida and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through March 3, 2028 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1407179161
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePREMISE HEALTH OF FLORIDA MEDICAL PA
Location Address7500 CENTURION PKWY STE 100Jacksonville, FL 32256-0517
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(904) 443-1100
Fax(904) 328-5799
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateMarch 10, 2010
Last NPPES UpdateFebruary 4, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1407179161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
7500 CENTURION PKWY STE 100, Jacksonville, FL 32256
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Other Names 1

Doing Business AsVistakon Health Center

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 10D2004412

Premise Health Of Florida Medical, PA · Jacksonville, FL
Active · expires Mar 3, 2028
CLIA Number10D2004412
Laboratory TypePhysician Office
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorCarla Botti
Laboratory Phone(904) 443-1100
Laboratory LocationPremise Health Of Florida Medical, PA7500 Centurion Pkwy Ste 100, Jacksonville, FL 32256
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 2

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

PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION
Clinic/Center (Health Service)
7500 CENTURION PKWY STE 100
JACKSONVILLE, FL 32256
Duval County (904) 443-1100
DR. BRIAN PALL OD
Optometrist
7500 CENTURION PKWY STE 100
JACKSONVILLE, FL 32256
Duval County (904) 629-2289

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 Premise Health Of Florida Medical PA's NPI number?

The NPI number for Premise Health Of Florida Medical PA is 1407179161. It was assigned to this organization in the NPPES registry on March 10, 2010. The provider is doing business as Vistakon Health Center.

Where is Premise Health Of Florida Medical PA located?

Premise Health Of Florida Medical PA is located at 7500 Centurion Pkwy Ste 100, Jacksonville, FL 32256. The listed phone number is (904) 443-1100.

What is Premise Health Of Florida Medical PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Premise Health Of Florida Medical PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2004412) is associated with this NPI, valid through March 3, 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 Premise Health Of Florida Medical PA was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.