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PHYSICAL HEALTHCARE OF JACKSONVILLE INC
NPI 1760722011
Internal Medicine in Jacksonville, FL

Active since February 25, 2013
12620 BEACH BLVD, SUITE 6, JACKSONVILLE, FL 32246(904) 645-0777(904) 645-3483 Get Directions Write a Review

NPPES record last updated: April 18, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 18, 2017, Jan 9, 2017, Sep 2, 2016 and 1 more (4 updates tracked since 2016).

About Physical Healthcare Of Jacksonville Inc NPPES

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

PHYSICAL HEALTHCARE OF JACKSONVILLE INC (NPI 1760722011) is a healthcare organization registered as an internal medicine in Jacksonville, Florida and active in the NPI registry since February 2013. The organization lists Mark A Pierce, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1760722011
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePHYSICAL HEALTHCARE OF JACKSONVILLE INC
Location Address12620 BEACH BLVD, SUITE 6Jacksonville, FL 32246-7131
Mailing Address12620 Beach Blvd, Suite 6Jacksonville, FL 32246-7131 · (904) 645-0777 · Fax (904) 645-3483
Phone(904) 645-0777
Fax(904) 645-3483
Organization SubpartNo
Authorized OfficialMark A PierceClinic Director · (904) 645-0777
Enumeration DateFebruary 25, 2013
Last NPPES UpdateApril 18, 20174 updates tracked since enumeration
✔ NPI 1760722011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME55161
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.
Also ListedChiropractorTaxonomy 111N00000X · License CH6451 (FL), CH6588 (FL), CH4435 (FL)
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License ME0060908 (FL)
Also ListedPhysical TherapistTaxonomy 225100000X · License PT30658 (FL)
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License ME55161 (FL), ME0060908 (FL)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA9106788 (FL)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License ARNP 770742 (FL)
12620 BEACH BLVD, Jacksonville, FL 32246
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINHF195AFL
Medicare NSC6736700001FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.Insurance ›

Other Providers at the Same Location NPPES 16

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

MS. MEGAN MICHELLE FADIL PHARM D
Pharmacist
12620 BEACH BLVD, SUITE 12
JACKSONVILLE, FL 32246
Duval County (904) 564-3586
DR. AARON JOHN PLOESSL D.C.
Chiropractor
12620 BEACH BLVD, SUITE 6
JACKSONVILLE, FL 32246
Duval County (904) 645-0777
DR. SEAN FRANCIS MCHUGH D.C.
Chiropractor
12620 BEACH BLVD, SUITE 6
JACKSONVILLE, FL 32246
Duval County (904) 645-0777
DR. DEBORAH FRALICKER DC
Nurse Practitioner (Family)
12620 BEACH BLVD, SUITE 6
JACKSONVILLE, FL 32246
Duval County (904) 645-0777
DR. IRINA EUGENIEVNA BOLDT M.D.
Family Medicine
12620 BEACH BLVD
JACKSONVILLE, FL 32246
Duval County (904) 633-0585
DR. DAVID RICHARD OLINZOCK D.D.S.
Dentist (General Practice)
12620 BEACH BLVD, STE 18
JACKSONVILLE, FL 32246
Duval County (904) 620-0404
QUALICARE HEALTH INC
Home Health
12620 BEACH BLVD, 143
JACKSONVILLE, FL 32246
Duval County (904) 827-9099
DIANNE CHANDLER PHARM D
Pharmacist
12620 BEACH BLVD
JACKSONVILLE, FL 32246
Duval County (904) 564-3586

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 Physical Healthcare Of Jacksonville Inc's NPI number?

The NPI number for Physical Healthcare Of Jacksonville Inc is 1760722011. It was assigned to this organization in the NPPES registry on February 25, 2013.

Where is Physical Healthcare Of Jacksonville Inc located?

Physical Healthcare Of Jacksonville Inc is located at 12620 Beach Blvd Suite 6, Jacksonville, FL 32246. The listed phone number is (904) 645-0777.

What is Physical Healthcare Of Jacksonville Inc's specialty?

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

What insurance does Physical Healthcare Of Jacksonville Inc accept?

Health plans from Wellpoint list Physical Healthcare Of Jacksonville Inc 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 Physical Healthcare Of Jacksonville Inc was last updated on April 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.