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BEACH MEDICAL SPECIALIST PA
NPI 1720125479
Internal Medicine in Jacksonville, FL

Active since January 31, 2007CLIA 10D1043673 · Waiver
9860 BEACH BLVD, JACKSONVILLE, FL 32246(904) 200-2978(904) 807-9114 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beach Medical Specialist Pa NPPES

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

BEACH MEDICAL SPECIALIST PA (NPI 1720125479) is a healthcare organization registered as an internal medicine in Jacksonville, Florida and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through July 31, 2027 and lists Alejandro Cabigting Dizon, President, as its authorized official.

NPPES Registry Identity

NPI1720125479
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBEACH MEDICAL SPECIALIST PA
Location Address9860 BEACH BLVDJacksonville, FL 32246-4704
Mailing Address9860 Beach BlvdJacksonville, FL 32246-4704 · (904) 200-2978 · Fax (904) 807-9114
Phone(904) 200-2978
Fax(904) 807-9114
Organization SubpartNo
Authorized OfficialAlejandro Cabigting DizonPresident · (904) 200-2978
Enumeration DateJanuary 31, 2007
Last NPPES UpdateMarch 6, 2024
NPPES CertifiedMarch 6, 2024
✔ NPI 1720125479 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 · ME88405
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.
9860 BEACH BLVD, Jacksonville, FL 32246
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Other Identifiers 1

Medicaid272420100FL

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 Ambetter Health, Ambetter of Alabama, AvMed 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 10D1043673

Beach Medical Specialist PA · Jacksonville, FL
Active · expires Jul 31, 2027
CLIA Number10D1043673
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorAlejandro C. Dizon
Laboratory Phone(904) 807-9112
Laboratory LocationBeach Medical Specialist PA9860 Beach Blvd, Jacksonville, FL 32246
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

ANA PAOLA ADAMSKI
Nurse Practitioner (Family)
9860 BEACH BLVD
JACKSONVILLE, FL 32246
Duval County (904) 807-9112
ALEJANDRO CABIGTING DIZON MD
Internal Medicine
9860 BEACH BLVD
JACKSONVILLE, FL 32246
Duval County (904) 807-9112
ADVANCED CARE THERAPY SERVICES, LLC
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
9860 BEACH BLVD, SUITE C
JACKSONVILLE, FL 32246
Duval County (904) 866-0219
MRS. JENNY AMBER VEVEA MINACCI APRN
Nurse Practitioner (Primary Care)
9860 BEACH BLVD
JACKSONVILLE, FL 32246
Duval County (907) 807-9112
ARIANNE LACUESTA VITUG APRN
Nurse Practitioner (Primary Care)
9860 BEACH BLVD
JACKSONVILLE, FL 32246
Duval County (904) 807-9112
NAJI NOUNEH M.D.
Internal Medicine
9860 BEACH BLVD
JACKSONVILLE, FL 32246
Duval County (904) 807-9112
JEAN SERNA APRN
Nurse Practitioner (Family)
9860 BEACH BLVD
JACKSONVILLE, FL 32246
Duval County (904) 807-9112

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 Beach Medical Specialist PA's NPI number?

The NPI number for Beach Medical Specialist PA is 1720125479. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is Beach Medical Specialist PA located?

Beach Medical Specialist PA is located at 9860 Beach Blvd, Jacksonville, FL 32246. The listed phone number is (904) 200-2978.

What is Beach Medical Specialist PA's specialty?

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

Does Beach Medical Specialist PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1043673) is associated with this NPI, valid through July 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Beach Medical Specialist PA accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed and Molina Healthcare list Beach Medical Specialist PA 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 Beach Medical Specialist PA was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.