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CANTRELL CORNERSTONE CLINIC, LLC
NPI 1770092231
Family Medicine in Jacksonville, FL

Active since September 27, 2017
11512 LAKE MEAD AVE UNIT 302, JACKSONVILLE, FL 32256(904) 900-3472(904) 503-2373 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cantrell Cornerstone Clinic, Llc NPPES

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

CANTRELL CORNERSTONE CLINIC, LLC (NPI 1770092231) is a healthcare organization registered as a family medicine in Jacksonville, Florida and active in the NPI registry since September 2017. The organization lists Ammala Cantrell, Owner, as its authorized official.

NPPES Registry Identity

NPI1770092231
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCANTRELL CORNERSTONE CLINIC, LLC
Location Address11512 LAKE MEAD AVE UNIT 302Jacksonville, FL 32256-9685
Mailing Address11512 Lake Mead Ave Unit 302Jacksonville, FL 32256-9685 · (904) 900-3472 · Fax (904) 503-2373
Phone(904) 900-3472
Fax(904) 503-2373
Organization SubpartNo
Authorized OfficialAmmala CantrellOwner · (904) 673-5553
Enumeration DateSeptember 27, 2017
Last NPPES UpdateJuly 21, 2022
✔ NPI 1770092231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME84833
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11512 LAKE MEAD AVE UNIT 302, Jacksonville, FL 32256
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Group Practice 1

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

Other Providers at the Same Location NPPES

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

AMMALA CANTRELL
Family Medicine
11512 LAKE MEAD AVE UNIT 302
JACKSONVILLE, FL 32256
Duval County (904) 900-3472

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 Cantrell Cornerstone Clinic, LLC's NPI number?

The NPI number for Cantrell Cornerstone Clinic, LLC is 1770092231. It was assigned to this organization in the NPPES registry on September 27, 2017.

Where is Cantrell Cornerstone Clinic, LLC located?

Cantrell Cornerstone Clinic, LLC is located at 11512 Lake Mead Ave Unit 302, Jacksonville, FL 32256. The listed phone number is (904) 900-3472.

What is Cantrell Cornerstone Clinic, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Cantrell Cornerstone Clinic, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.