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FIRST COAST PHYSICAL MEDICINE INC
NPI 1467550525
Family Medicine in Jacksonville, FL

Active since September 20, 2006
3100 UNIVERSITY BLVD. S., SUITE 320, JACKSONVILLE, FL 32216(904) 727-7733(904) 727-7737 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About First Coast Physical Medicine Inc NPPES

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

FIRST COAST PHYSICAL MEDICINE INC (NPI 1467550525) is a healthcare organization registered as a family medicine in Jacksonville, Florida and active in the NPI registry since September 2006. The organization lists Janet L. Stephens, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1467550525
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFIRST COAST PHYSICAL MEDICINE INC
Location Address3100 UNIVERSITY BLVD. S., SUITE 320Jacksonville, FL 32216-2790
Mailing AddressP. O. Box 55065Jacksonville, FL 32216-2790 · (904) 727-7733 · Fax (904) 727-7737
Phone(904) 727-7733
Fax(904) 727-7737
Organization SubpartNo
Authorized OfficialJanet L. StephensOffice Manager · (904) 727-7733
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1467550525 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.

3100 UNIVERSITY BLVD. S., Jacksonville, FL 32216
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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

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 10D1040259

First Coast Dialysis Center · Jacksonville, FL
Active · expires May 3, 2027
CLIA Number10D1040259
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMay 4, 2025
Certificate Expiration DateMay 3, 2027
Laboratory DirectorBrijendra Gupta
Laboratory Phone(904) 354-3333
Laboratory LocationFirst Coast Dialysis Center5730 Bowden Rd Ste 110, Jacksonville, FL 32216
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is FIRST COAST PHYSICAL MEDICINE INC's NPI number?

The NPI number assigned to this healthcare provider is 1467550525, enumerated as an "organization" on September 20, 2006.

Where is the provider located?

The provider is located at 3100 UNIVERSITY BLVD. S. SUITE 320 JACKSONVILLE, FL 32216 and the phone number is (904) 727-7733.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.