JACKSONVILLE FAMILY PRACTICE ASSOCIATES - NPI 1851333108 - Family Medicine in Jacksonville, FL

Q: What is Memorial Family Practice Associates LLC's specialty?

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

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About Jacksonville Family Practice Associates NPPES

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

JACKSONVILLE FAMILY PRACTICE ASSOCIATES (NPI 1851333108) is a healthcare organization registered as a family medicine in Jacksonville, Florida and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through March 2, 2028 and lists Mickey Pickler, Vp, as its authorized official.

NPPES Registry Identity

NPI1851333108

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMEMORIAL FAMILY PRACTICE ASSOCIATES LLC

Location Address1731 UNIVERSITY BLVD SJacksonville, FL 32216-8928

Mailing Address1731 University Blvd SJacksonville, FL 32216-8928 · (904) 725-6544 · Fax (904) 721-5711

Phone(904) 725-6544

Fax(904) 721-5711

Organization SubpartNo

Authorized OfficialMickey PicklerVp · (904) 725-6544

Enumeration DateJune 12, 2006

Last NPPES UpdateJanuary 21, 2008

✔ NPI 1851333108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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.

1731 UNIVERSITY BLVD S, Jacksonville, FL 32216

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Other Names 1

Doing Business AsJacksonville Family Practice Associates

Other Identifiers 2

Medicare PINDE7890

Medicare PINK9462FL

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

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 10D0269492

Memorial Family Practice Associates LLC Hca Florida Jacksonville Primary Care · Jacksonville, FL

Active · expires Mar 2, 2028

CLIA Number10D0269492

Laboratory TypePhysician Office

Certificate Effective DateMarch 3, 2026

Certificate Expiration DateMarch 2, 2028

Laboratory DirectorLuna L. Khadour

Laboratory Phone(904) 268-5561

Laboratory LocationMemorial Family Practice Associates LLC Hca Florida Jacksonville Primary Care12276 San Jose Blvd Ste 401, Jacksonville, FL 32223

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

JUDITH A HEMENWAY ARNP

Nurse Practitioner