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NORTH FLORIDA MEDICAL CLINIC INC
NPI 1639126907
Internal Medicine in Jacksonville Beach, FL

Active since May 30, 2006CLIA 10D0951716 · Waiver
1361 13TH AVE S STE 150, JACKSONVILLE BEACH, FL 32250(904) 242-7177(904) 242-7162 Get Directions Write a Review

NPPES record last updated: January 24, 2012. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About North Florida Medical Clinic Inc NPPES

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

NORTH FLORIDA MEDICAL CLINIC INC (NPI 1639126907) is a healthcare organization registered as an internal medicine in Jacksonville Beach, Florida and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists Holthaus Kevin, President, as its authorized official.

NPPES Registry Identity

NPI1639126907
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNORTH FLORIDA MEDICAL CLINIC INC
Location Address1361 13TH AVE S STE 150Jacksonville Beach, FL 32250-3235
Mailing AddressPo Box 17809Jacksonville, FL 32245-7809 · (904) 723-0015 · Fax (904) 338-0951
Phone(904) 242-7177
Fax(904) 242-7162
Organization SubpartNo
Authorized OfficialHolthaus KevinPresident · (904) 242-7177
Enumeration DateMay 30, 2006
Last NPPES UpdateJanuary 24, 2012
✔ NPI 1639126907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME43785
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.
1361 13TH AVE S STE 150, Jacksonville Beach, FL 32250
Open in Google Maps ↗

Other Identifiers 4

Other1639126907Npi
OtherDD6503FL · Railroad Medicare
Other94954FL · Bcbs
Medicare PIN94954FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 10D0951716

North Florida Medical Clinic Inc · Jacksonville Beach, FL
Active · expires Sep 8, 2027
CLIA Number10D0951716
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorKevin Holthaus
Laboratory Phone(904) 242-7177
Laboratory LocationNorth Florida Medical Clinic Inc1361 13th Ave South Suite 150, Jacksonville Beach, FL 32250
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

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

AMY E BRUMFIELD PA
Physician Assistant (Medical)
1361 13TH AVE S STE 150
JAX BCH, FL 32250
Duval County (904) 242-7177

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 North Florida Medical Clinic Inc's NPI number?

The NPI number for North Florida Medical Clinic Inc is 1639126907. It was assigned to this organization in the NPPES registry on May 30, 2006.

Where is North Florida Medical Clinic Inc located?

North Florida Medical Clinic Inc is located at 1361 13th Ave S Ste 150, Jacksonville Beach, FL 32250. The listed phone number is (904) 242-7177.

What is North Florida Medical Clinic Inc's specialty?

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

Does North Florida Medical Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0951716) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Florida Medical Clinic Inc accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list North Florida Medical Clinic Inc 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 North Florida Medical Clinic Inc was last updated on January 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.