FLORIDA BLUE MEDICARE INC
NPI 1750074894
Health Maintenance Organization in Jacksonville, FL
NPI Status: Active since June 02, 2023
Contact Information
4800 DEERWOOD CAMPUS PKWY
JACKSONVILLE, FL
ZIP 32246
Phone: (904) 791-6111
- Organization
- Health Maintenance Organization
- CLIA Number: 10D2301898
- CLIA Cert. Type: Health Fair
- CLIA Exp. Date: 04-01-2028
About FLORIDA BLUE MEDICARE INC
This page provides the complete NPI Profile along with additional information for Florida Blue Medicare Inc, a provider established in Jacksonville, Florida operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1750074894 assigned on June 2023. The practitioner's primary taxonomy code is 302R00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Kareen Dorsett (Vp Medicare Cfo)
- NPI
- 1750074894
- Provider Name
- FLORIDA BLUE MEDICARE INC
- Entity Type
- Organization
- Location Address
- 4800 DEERWOOD CAMPUS PKWY JACKSONVILLE, FL 32246
- Location Phone
- (904) 791-6111
- Mailing Address
- 4800 DEERWOOD CAMPUS PKWY JACKSONVILLE, FL 32246
- Mailing Phone
- (904) 791-6111
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-02-2023
- Last Update Date
- 06-02-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Health Maintenance Organization
- Taxonomy Code
- 302R00000X
- Type
- Managed Care Organizations
- Taxonomy Description
- (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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2301898
- Facility Type
- Health Fair
- Certificate Effective Date
- April 02, 2026
- Certificate Expiration Date
- April 01, 2028
- Laboratory Director
- KIMBERLY GRIFFITH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Florida Blue Medicare Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1750074894, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
JACKSONVILLE, FL 32246
JACKSONVILLE, FL 32246
JACKSONVILLE, FL 32246
JACKSONVILLE, FL 32246
JACKSONVILLE, FL 32246
JACKSONVILLE, FL 32246
JACKSONVILLE, FL 32246
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750074894, enumerated as an "organization" on June 02, 2023.
The provider is located at 4800 DEERWOOD CAMPUS PKWY JACKSONVILLE, FL 32246 and the phone number is (904) 791-6111.
Health Maintenance Organization with taxonomy code 302R00000X.
