FLORIDA BLUE MEDICARE INC
NPI 1750074894
Health Maintenance Organization in Jacksonville, FL

Active since June 02, 2023CLIA 10D2301898 · Waiver
4800 DEERWOOD CAMPUS PKWY, JACKSONVILLE, FL 32246(904) 791-6111 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Florida Blue Medicare Inc NPPES

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

FLORIDA BLUE MEDICARE INC (NPI 1750074894) is a healthcare organization registered as a health maintenance organization in Jacksonville, Florida and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through April 1, 2028 and lists Kareen Dorsett, Vp Medicare Cfo, as its authorized official.

NPPES Registry Identity

NPI1750074894
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameFLORIDA BLUE MEDICARE INC
Location Address4800 DEERWOOD CAMPUS PKWYJacksonville, FL 32246-8317
Mailing Address4800 Deerwood Campus PkwyJacksonville, FL 32246-8317 · (904) 791-6111
Organization SubpartNo
Authorized OfficialKareen DorsettVp Medicare Cfo · (404) 808-7542
Enumeration DateJune 2, 2023
NPPES CertifiedJune 1, 2023
NPI 1750074894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
Definition
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
4800 DEERWOOD CAMPUS PKWY, Jacksonville, FL 32246

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 10D2301898

Blue Cross And Blue Shield Of Florida Inc Dba Florida Blue · Jacksonville, FL
Active · expires Apr 1, 2028
CLIA Number10D2301898
Laboratory TypeHealth Fair
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorKimberly Griffith
Laboratory Phone(904) 363-5870
Laboratory LocationBlue Cross And Blue Shield Of Florida Inc Dba Florida Blue4800 Deerwood Campus Parkway, Jacksonville, FL 32246
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Family)
4800 DEERWOOD CAMPUS PKWY
JACKSONVILLE, FL 32246
Family Medicine
4800 DEERWOOD CAMPUS PKWY, BUILDING 300 FIRST FLOOR
JACKSONVILLE, FL 32246
Clinic/Center (Multi-Specialty)
4800 DEERWOOD CAMPUS PKWY, DEERWOOD CAMPUS COMPLEX BLDG 300, 1ST FLOOR
JACKSONVILLE, FL 32246
Nurse Practitioner
4800 DEERWOOD CAMPUS PKWY, BUILDING 400, SUITE DCC4-1-002
JACKSONVILLE, FL 32246
Pharmacist (Pharmacotherapy)
4800 DEERWOOD CAMPUS PKWY
JACKSONVILLE, FL 32246
Social Worker
4800 DEERWOOD CAMPUS PKWY
JACKSONVILLE, FL 32246
Nurse Practitioner (Family)
4800 DEERWOOD CAMPUS PKWY
JACKSONVILLE, FL 32246
Clinic/Center
4800 DEERWOOD CAMPUS PKWY
JACKSONVILLE, FL 32246

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 Florida Blue Medicare Inc's NPI number?

The NPI number for Florida Blue Medicare Inc is 1750074894. It was assigned to this organization in the NPPES registry on June 2, 2023.

Where is Florida Blue Medicare Inc located?

Florida Blue Medicare Inc is located at 4800 Deerwood Campus Pkwy, Jacksonville, FL 32246. The listed phone number is (904) 791-6111.

What is Florida Blue Medicare Inc's specialty?

The primary specialty registered for this NPI is Health Maintenance Organization with taxonomy code 302R00000X.

Does Florida Blue Medicare Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2301898) is associated with this NPI, valid through April 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Florida Blue Medicare Inc was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.