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NORTHSIDE MEDICAL CLINIC
NPI 1730378043
General Practice in Jacksonville, FL

Active since October 23, 2007
480 BUSCH DR, JACKSONVILLE, FL 32218(904) 764-5000 Get Directions Write a Review

NPPES record last updated: April 1, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Northside Medical Clinic NPPES

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

NORTHSIDE MEDICAL CLINIC (NPI 1730378043) is a healthcare organization registered as a general practice in Jacksonville, Florida and active in the NPI registry since October 2007. The organization lists Sharon Minger Wilson, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1730378043
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDONALD S FREEDMAN MD PA
Location Address480 BUSCH DRJacksonville, FL 32218-5553
Mailing Address480 Busch DrJacksonville, FL 32218-5553 · (904) 764-5000
Phone(904) 764-5000
Organization SubpartNo
Authorized OfficialSharon Minger WilsonOffice Administrator · (904) 764-5000
Enumeration DateOctober 23, 2007
Last NPPES UpdateApril 1, 2008
✔ NPI 1730378043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME49644
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License ME 31964 (FL)
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License OS58811 (FL)
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License ME31964 (FL)
480 BUSCH DR, Jacksonville, FL 32218
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Other Names 1

Doing Business AsNorthside Medical Clinic

Other Identifiers 6

Medicare PIN02690FL
Other62840FL · Blue Shield Of Florida
Medicare UPINB57981FL
Medicare UPIND61769FL
Medicare UPINE11882FL
Medicare PIN15435FL

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

Other Providers at the Same Location NPPES 2

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

DR. HUNG VAN TRAN MD
Family Medicine
480 BUSCH DR
JACKSONVILLE, FL 32218
Duval County (904) 714-1330
DONALD S FREEDMAN MD PA MD
Obstetrics & Gynecology (Gynecology)
480 BUSCH DR
JACKSONVILLE, FL 32218
Duval County (904) 281-0460

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 Donald S Freedman MD PA's NPI number?

The NPI number for Donald S Freedman MD PA is 1730378043. It was assigned to this organization in the NPPES registry on October 23, 2007. The provider is doing business as Northside Medical Clinic.

Where is Donald S Freedman MD PA located?

Donald S Freedman MD PA is located at 480 Busch Dr, Jacksonville, FL 32218. The listed phone number is (904) 764-5000.

What is Donald S Freedman MD PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Donald S Freedman MD PA was last updated on April 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.