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FAMILY CARE PARTNERS OF NORTHEAST FLORIDA LLC
NPI 1417559147
Family Medicine in Jacksonville, FL

Active since November 09, 2020CLIA Certified · 2 labs
1215 DUNN AVE, JACKSONVILLE, FL 32218(904) 757-1998(904) 696-7462 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 3, 2025, Nov 20, 2024, Jul 12, 2023 and 1 more (4 updates tracked since 2020).

About Family Care Partners Of Northeast Florida Llc NPPES

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

FAMILY CARE PARTNERS OF NORTHEAST FLORIDA LLC (NPI 1417559147) is a healthcare organization registered as a family medicine in Jacksonville, Florida and active in the NPI registry since November 2020. The organization holds 2 active CLIA laboratory certificates and lists David Brown, Secretary, as its authorized official.

NPPES Registry Identity

NPI1417559147
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY CARE PARTNERS OF NORTHEAST FLORIDA LLC
Location Address1215 DUNN AVEJacksonville, FL 32218-6330
Mailing Address425 W Colonial Dr Ste 303Orlando, FL 32804-6863 · (904) 745-3618 · Fax (904) 722-4271
Phone(904) 757-1998
Fax(904) 696-7462
Organization SubpartYesParent: Family Care Partners Of Northeast Florida, Llc
Authorized OfficialDavid BrownSecretary · (833) 702-8383
Enumeration DateNovember 9, 2020
Last NPPES UpdateJanuary 3, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
✔ NPI 1417559147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.

1215 DUNN AVE, Jacksonville, FL 32218
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 10D2054225

Family Care Partners Of Northeast Florida, LLC · Jacksonville, FL
Active · expires Feb 14, 2027
CLIA Number10D2054225
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2025
Certificate Expiration DateFebruary 14, 2027
Laboratory DirectorJonathan Gonzalez
Laboratory Phone(904) 757-1998
Laboratory LocationFamily Care Partners Of Northeast Florida, LLC3000 Dunn Ave Suite 2, Jacksonville, FL 32218
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0269060

Family Care Partners Of Northeast Florida LLC · Jacksonville, FL
Active · expires Nov 2, 2026
CLIA Number10D0269060
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2024
Certificate Expiration DateNovember 2, 2026
Laboratory DirectorCharles R. Warren
Laboratory Phone(407) 819-7163
Laboratory LocationFamily Care Partners Of Northeast Florida LLC6484 Fort Caroline Rd, Jacksonville, FL 32277
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

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

MEREDITH LINDSEY WELLS PTA
Physical Therapy Assistant
1215 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 751-2000
CONCENTRA MEDICAL CENTER-JAX NORTHSIDE
Clinic/Center (Health Service)
1215 DUNN AVE, STE. 7
JACKSONVILLE, FL 32218
Duval County (904) 757-5656
DR. DEARCY E. VAUGHAN PHARMD, MBA
Pharmacist
1215 DUNN AVE, SUITE #2
JACKSONVILLE, FL 32218
Duval County (904) 751-1517
DR. RALPH M. BOONE D.O.
Family Medicine (Adult Medicine)
1215 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 757-1998
DR. SHAWNA P HAMILTON M.D.
Pediatrics
1215 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 757-1998
DR. ANTHONY VAZ M.D.
Specialist
1215 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 757-1998
DAVID T. STOGIN PA
Physician Assistant
1215 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 757-1998
DIANA L JOHNSON M.D.
Pediatrics
1215 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 757-1998

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 Family Care Partners Of Northeast Florida LLC's NPI number?

The NPI number for Family Care Partners Of Northeast Florida LLC is 1417559147. It was assigned to this organization in the NPPES registry on November 9, 2020.

Where is Family Care Partners Of Northeast Florida LLC located?

Family Care Partners Of Northeast Florida LLC is located at 1215 Dunn Ave, Jacksonville, FL 32218. The listed phone number is (904) 757-1998.

What is Family Care Partners Of Northeast Florida LLC's specialty?

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

Does Family Care Partners Of Northeast Florida LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Family Care Partners Of Northeast Florida LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Family Care Partners Of Northeast Florida LLC 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 Family Care Partners Of Northeast Florida LLC was last updated on January 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.