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QING IVY FAN MD
NPI 1679520365
Internal Medicine in Jacksonville, FL

Active since May 28, 2006
6817 SOUTHPOINT PKWY, #503, JACKSONVILLE, FL 32216(904) 296-9777(904) 296-9977 Get Directions Write a Review

NPPES record last updated: September 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Qing Ivy Fan Md NPPES

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

QING IVY FAN MD (NPI 1679520365) is an individual internal medicine provider in Jacksonville, Florida, licensed in Tennessee (0000040237) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1679520365
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameQING IVY FANCredential: MD
Location Address6817 SOUTHPOINT PKWY, #503Jacksonville, FL 32216-6282
Mailing Address6817 Southpoint Pkwy, #503Jacksonville, FL 32216-6282 · (904) 296-9777 · Fax (904) 296-9977
Phone(904) 296-9777
Fax(904) 296-9977
Sole ProprietorNo
Enumeration DateMay 28, 2006
Last NPPES UpdateSeptember 18, 2008
✔ NPI 1679520365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 0000040237
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.
6817 SOUTHPOINT PKWY, Jacksonville, FL 32216
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Other Identifiers 5

Medicaid3336593TN
Medicare ID-Type Unspecified3336593TN
Medicaid404037FL
Medicare UPINI48357TN
Medicare PINAM076ZFL

Other Providers at the Same Location NPPES 20

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

YVETTE CULVER-OWENS LMHC
Counselor (Mental Health)
6817 SOUTHPOINT PKWY, SUITE 1304
JACKSONVILLE, FL 32216
Duval County (904) 505-3983
ABC PROSTHETICS & ORTHOTICS OF NORTH FLORIDA
Prosthetic/Orthotic Supplier
6817 SOUTHPOINT PKWY
JACKSONVILLE, FL 32216
Duval County (904) 686-8222
SOUTHPOINT PHARMACY SVCS INC
Pharmacy (Community/Retail Pharmacy)
6817 SOUTHPOINT PKWY, STE 1702
JACKSONVILLE, FL 32216
Duval County (904) 296-9145
KIMBERLY VAN SCRIVER MD PA
Obstetrics & Gynecology
6817 SOUTHPOINT PKWY, SUITE 2204
JACKSONVILLE, FL 32216
Duval County (904) 674-0022
IVAN GUERRERO MD PA
Specialist
6817 SOUTHPOINT PKWY, SUITE 502
JACKSONVILLE, FL 32216
Duval County (904) 646-3017
JACKSONVILLE CRITICAL CARE ASSOCIATES PA
Internal Medicine
6817 SOUTHPOINT PKWY, SUITE 801
JACKSONVILLE, FL 32216
Duval County (904) 646-3420
BECKY J OLSON PH.D.
Psychologist
6817 SOUTHPOINT PKWY, SUITE 803
JACKSONVILLE, FL 32216
Duval County (904) 296-7223
EUGENE J. RANKIN, PH.D., ABPP, P.L
Clinic/Center (Adult Mental Health)
6817 SOUTHPOINT PKWY, STE 803
JACKSONVILLE, FL 32216
Duval County (904) 281-0493

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 Qing Fan's NPI number?

The NPI number for Qing Fan is 1679520365. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Where is Qing Fan located?

Qing Fan practices at 6817 Southpoint Pkwy #503, Jacksonville, FL 32216. The listed phone number is (904) 296-9777.

What is Qing Fan's specialty?

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

When was this NPI record last updated?

The NPPES record for Qing Fan was last updated on September 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.