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CAREMAX CLINIC 711 LLC
NPI 1609359249
Internal Medicine in Jacksonville, FL

Active since September 10, 2018
2732 TROLLIE LN, JACKSONVILLE, FL 32211(904) 289-1254(904) 212-0036 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2025, Jun 6, 2024, Mar 11, 2019 and 1 more (4 updates tracked since 2018).

About Caremax Clinic 711 Llc NPPES

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

CAREMAX CLINIC 711 LLC (NPI 1609359249), doing business as Valuecare Clinic, is a healthcare organization registered as an internal medicine in Jacksonville, Florida and active in the NPI registry since September 2018. The organization maintains a secondary practice location in Jacksonville and lists Vipul B Mamtora, Director, as its authorized official.

NPPES Registry Identity

NPI1609359249
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCAREMAX CLINIC 711 LLC
Location Address2732 TROLLIE LNJacksonville, FL 32211-3833
Mailing AddressPo Box 600365Jacksonville, FL 32260-0365 · (904) 289-1254 · Fax (904) 202-0036
Phone(904) 289-1254
Fax(904) 212-0036
Organization SubpartNo
Authorized OfficialVipul B MamtoraDirector · (904) 289-1254
Enumeration DateSeptember 10, 2018
Last NPPES UpdateDecember 15, 20254 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1609359249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
2732 TROLLIE LN, Jacksonville, FL 32211
Open in Google Maps ↗

Other Names 1

Doing Business AsValuecare Clinic

Secondary Practice Location 1

Location 12789 Park StJacksonville, FL 32205-7607 · Phone (904) 289-1254 · Fax (904) 212-0036

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 Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 10D2263685

Caremax Clinic 711 LLC · Jacksonville, FL
Expired · Jun 30, 2026
CLIA Number10D2263685
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 1, 2024
Certificate Expiration DateJune 30, 2026
Laboratory DirectorLatara Taylor
Laboratory Phone(904) 289-1254
Laboratory LocationCaremax Clinic 711 LLC2732 Trollie Lane, Jacksonville, FL 32211
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.

DR. JUSTIN MICHAEL MORTIMER MD
Psychiatry & Neurology (Psychiatry)
2732 TROLLIE LN
JACKSONVILLE, FL 32211
Duval County (904) 289-1254
ANOTTE JUSTILIEN MERIEDY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2732 TROLLIE LN
JACKSONVILLE, FL 32211
Duval County (907) 289-1254
JENNIFER MORAN FNP-BC
Nurse Practitioner (Primary Care)
2732 TROLLIE LN
JACKSONVILLE, FL 32211
Duval County (904) 289-1254

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 Caremax Clinic 711 LLC's NPI number?

The NPI number for Caremax Clinic 711 LLC is 1609359249. It was assigned to this organization in the NPPES registry on September 10, 2018. The provider is doing business as ValueCare Clinic.

Where is Caremax Clinic 711 LLC located?

Caremax Clinic 711 LLC is located at 2732 Trollie Ln, Jacksonville, FL 32211. The listed phone number is (904) 289-1254.

What is Caremax Clinic 711 LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

What insurance does Caremax Clinic 711 LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Caremax Clinic 711 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 Caremax Clinic 711 LLC was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.