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MAIN STREET HEALTH LLC
NPI 1568987360
Family Medicine in Jacksonville, FL

Active since August 14, 2017
2 SHIRCLIFF WAY STE 620, JACKSONVILLE, FL 32204(904) 388-5265(904) 387-2659 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 14, 2017 (2 updates tracked since 2017).

About Main Street Health Llc NPPES

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

MAIN STREET HEALTH LLC (NPI 1568987360) is a healthcare organization registered as a family medicine in Jacksonville, Florida and active in the NPI registry since August 2017. The organization lists Abdi Abbassi, Owner, as its authorized official.

NPPES Registry Identity

NPI1568987360
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAIN STREET HEALTH LLC
Location Address2 SHIRCLIFF WAY STE 620Jacksonville, FL 32204-4762
Mailing Address2 Shircliff Way Ste 620Jacksonville, FL 32204-4762 · (904) 388-5265 · Fax (904) 387-2659
Phone(904) 388-5265
Fax(904) 387-2659
Organization SubpartNo
Authorized OfficialAbdi AbbassiOwner · (904) 388-5265
Enumeration DateAugust 14, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1568987360 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.
2 SHIRCLIFF WAY STE 620, Jacksonville, FL 32204
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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

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 Main Street Health LLC's NPI number?

The NPI number for Main Street Health LLC is 1568987360. It was assigned to this organization in the NPPES registry on August 14, 2017.

Where is Main Street Health LLC located?

Main Street Health LLC is located at 2 Shircliff Way Ste 620, Jacksonville, FL 32204. The listed phone number is (904) 388-5265.

What is Main Street Health LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Main Street Health LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.