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FIRST COAST INFECTIOUS DISEASE CONSULTANTS LLC
NPI 1740477843
Internal Medicine - Infectious Disease in Jacksonville, FL

Active since October 02, 2007CLIA Certified · 2 labs
2122 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216(904) 398-5614(904) 398-5617 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 13, 2026, Oct 25, 2022, Jun 28, 2016 (3 updates tracked since 2016).

About First Coast Infectious Disease Consultants Llc NPPES

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

FIRST COAST INFECTIOUS DISEASE CONSULTANTS LLC (NPI 1740477843) is a healthcare organization registered as an infectious disease in Jacksonville, Florida and active in the NPI registry since October 2007. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Orange Park, and lists Bridget Roberts, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740477843
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameFIRST COAST INFECTIOUS DISEASE CONSULTANTS LLC
Location Address2122 UNIVERSITY BLVD SJacksonville, FL 32216-8937
Mailing AddressPo Box 16488Jacksonville, FL 32245-6488 · (904) 398-5614 · Fax (904) 398-5617
Phone(904) 398-5614
Fax(904) 398-5617
Organization SubpartNo
Authorized OfficialBridget RobertsCeo · (904) 398-5614
Enumeration DateOctober 2, 2007
Last NPPES UpdateJanuary 13, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1740477843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in FL · ME89939
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
2122 UNIVERSITY BLVD S, Jacksonville, FL 32216
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Secondary Practice Location 1

Location 12035 Professional Center Dr Ste BOrange Park, FL 32073-4462 · Phone (904) 264-7132 · Fax (904) 264-2609

Other Identifiers 1

Medicaid115420100FL

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

First Coast Infectious Disease Consultants Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

31

Medicare enrollment records show 31 clinicians reassign Medicare billing to First Coast Infectious Disease Consultants LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner17
Infectious Disease6
Pulmonary Disease4
Internal Medicine3
Critical Care (Intensivists)1

Nearest to this location (20)

See all 31
Justin Hutto, ARNP
Nurse Practitioner
NPI 1508370230
2122 UNIVERSITY BLVD S
Jacksonville, FL 32216
(904) 398-5614
✔ PECOSSame address
Sebastian Stanciu, MD
Internal Medicine
NPI 1730145608
2122 UNIVERSITY BLVD S
Jacksonville, FL 32216
(904) 398-5614
✔ PECOS✔ Accepts MedicareSame address
Stephanie Stancliff, DNP
Nurse Practitioner
NPI 1801675897
2122 UNIVERSITY BLVD S
Jacksonville, FL 32216
(386) 689-9599
✔ PECOS✔ Accepts MedicareSame address
Jessica Long, APRN
Nurse Practitioner
NPI 1679245914
2122 UNIVERSITY BLVD S
Jacksonville, FL 32216
(904) 398-5614
✔ PECOS✔ Accepts MedicareSame address
Tawana Thomas, MD
Infectious Disease
NPI 1427371632
2122 UNIVERSITY BLVD S
Jacksonville, FL 32216
(904) 398-5614
✔ PECOS✔ Accepts MedicareSame address
Dritan Likollari, APRN
Nurse Practitioner
NPI 1255147765
2122 UNIVERSITY BLVD S
Jacksonville, FL 32216
(904) 398-5614
✔ PECOSSame address
John Edwin Sia, MD
Internal Medicine
NPI 1992332928
2122 UNIVERSITY BLVD S
Jacksonville, FL 32216
(904) 398-5614
✔ PECOS✔ Accepts MedicareSame address
Brian Cooper, M.D.
Infectious Disease
NPI 1023032307
3599 UNIVERSITY BLVD S BLDG. 500, STE. 504
Jacksonville, FL 32216
(904) 398-5614
✔ PECOS1.1 mi
Sasha Thornton, ARNP
Nurse Practitioner
NPI 1013271642
3599 UNIVERSITY BLVD S STE. 504
Jacksonville, FL 32216
(904) 264-7132
✔ PECOS✔ Accepts Medicare1.1 mi
Bharani Pinisetty, MD
Infectious Disease
NPI 1376703777
3901 UNIVERSITY BLVD S
Jacksonville, FL 32216
(904) 475-5984
✔ PECOS1.4 mi
Antoinette Geissmann, APRN
Nurse Practitioner
NPI 1265845002
6817 SOUTHPOINT PKWY STE 203
Jacksonville, FL 32216
(904) 330-1024
✔ PECOS✔ Accepts Medicare3.2 mi
Kristina Hanlon, APRN
Nurse Practitioner
NPI 1386260354
4319 SALISBURY RD
Jacksonville, FL 32216
(904) 570-9404
✔ PECOS✔ Accepts Medicare3.7 mi
Abdallah Kafrouni, M.D.
Pulmonary Disease
NPI 1831284645
4203 BELFORT ROAD SUITE 215
Jacksonville, FL 32216
(904) 354-8200
✔ PECOS✔ Accepts Medicare3.7 mi
Akram Shibani, MD
Pulmonary Disease
NPI 1477784247
4203 BELFORT RD STE 4015
Jacksonville, FL 32216
(904) 450-6460
✔ PECOS✔ Accepts Medicare3.7 mi
Diana Mercado, M.D.
Infectious Disease
NPI 1255543849
820 PRUDENTIAL DR STE 515
Jacksonville, FL 32207
(904) 396-4886
✔ PECOS✔ Accepts Medicare3.8 mi
Catherine Smith, MD
Infectious Disease
NPI 1386847903
820 PRUDENTIAL DR STE 515
Jacksonville, FL 32207
(904) 396-4886
✔ PECOS✔ Accepts Medicare3.8 mi
Jean Paul Montoya, MD
Infectious Disease
NPI 1619081403
2 SHIRCLIFF WAY DEPAUL BUILDING, SUITE 720
Jacksonville, FL 32204
(904) 387-5027
✔ PECOS✔ Accepts Medicare5.3 mi
Christopher Basco
Nurse Practitioner
NPI 1073293775
13715 RICHMOND PARK DR N UNIT 401
Jacksonville, FL 32224
(904) 593-8514
✔ PECOS✔ Accepts Medicare8.7 mi
Rose Junie Fleuridor, FNP
Nurse Practitioner
NPI 1881330728
1 SHIRCLIFF WAY
Jacksonville, FL 32204
(904) 308-7300
✔ PECOS✔ Accepts Medicare11 mi
Stuart Shah, MD
Critical Care (Intensivists)
NPI 1700271343
2349 VILLAGE SQUARE PKWY STE 112
Fleming Island, FL 32003
(904) 253-6910
✔ PECOS✔ Accepts Medicare17 mi
See all 31 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 10D2350331

First Coast Infectious Disease Consultants LLC · Orange Park, FL
Active · expires Sep 7, 2028
CLIA Number10D2350331
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2026
Certificate Expiration DateSeptember 7, 2028
Laboratory DirectorSebastian Stanciu
Laboratory Phone(904) 398-5614
Laboratory LocationFirst Coast Infectious Disease Consultants LLC2035 Professional Center Drive, Suite B/C, Orange Park, FL 32073
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2350333

First Coast Infectious Disease Consultants LLC · Jacksonville, FL
Active · expires Sep 7, 2028
CLIA Number10D2350333
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2026
Certificate Expiration DateSeptember 7, 2028
Laboratory DirectorSebastian Stanciu
Laboratory Phone(904) 398-5614
Laboratory LocationFirst Coast Infectious Disease Consultants LLC2122 University Blvd S, Jacksonville, FL 32216
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 First Coast Infectious Disease Consultants LLC's NPI number?

The NPI number for First Coast Infectious Disease Consultants LLC is 1740477843. It was assigned to this organization in the NPPES registry on October 2, 2007.

Where is First Coast Infectious Disease Consultants LLC located?

First Coast Infectious Disease Consultants LLC is located at 2122 University Blvd S, Jacksonville, FL 32216. The listed phone number is (904) 398-5614.

What is First Coast Infectious Disease Consultants LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is First Coast Infectious Disease Consultants LLC enrolled in Medicare?

Yes. First Coast Infectious Disease Consultants LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through First Coast Infectious Disease Consultants LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 5 Medicare specialties reassign their Medicare billing to First Coast Infectious Disease Consultants LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (17), Infectious Disease (6) and Pulmonary Disease (4). Of these, 7 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does First Coast Infectious Disease Consultants LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does First Coast Infectious Disease Consultants LLC accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list First Coast Infectious Disease Consultants 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 First Coast Infectious Disease Consultants LLC was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.