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COGENT HEALTHCARE OF JACKSONVILLE, LLC
NPI 1861150625
Internal Medicine in Port Orange, FL

Active since November 29, 2021
1515 HERBERT ST STE 210, PORT ORANGE, FL 32129(386) 788-8313 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2025, Nov 29, 2021 (2 updates tracked since 2021).

About Cogent Healthcare Of Jacksonville, Llc NPPES

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

COGENT HEALTHCARE OF JACKSONVILLE, LLC (NPI 1861150625) is a healthcare organization registered as an internal medicine in Port Orange, Florida and active in the NPI registry since November 2021. The organization lists Laura Fall, Manager, as its authorized official.

NPPES Registry Identity

NPI1861150625
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOGENT HEALTHCARE OF JACKSONVILLE, LLC
Location Address1515 HERBERT ST STE 210Port Orange, FL 32129-6105
Mailing Address5410 Maryland Way Ste 300Brentwood, TN 37027-5339 · (866) 282-7905
Phone(386) 788-8313
Organization SubpartNo
Authorized OfficialLaura FallManager · (253) 682-6040
Enumeration DateNovember 29, 2021
Last NPPES UpdateMarch 7, 20252 updates tracked since enumeration
NPPES CertifiedMarch 7, 2025
✔ NPI 1861150625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
1515 HERBERT ST STE 210, Port Orange, FL 32129
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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

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 Cogent Healthcare Of Jacksonville, LLC's NPI number?

The NPI number for Cogent Healthcare Of Jacksonville, LLC is 1861150625. It was assigned to this organization in the NPPES registry on November 29, 2021.

Where is Cogent Healthcare Of Jacksonville, LLC located?

Cogent Healthcare Of Jacksonville, LLC is located at 1515 Herbert St Ste 210, Port Orange, FL 32129. The listed phone number is (386) 788-8313.

What is Cogent Healthcare Of Jacksonville, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Cogent Healthcare Of Jacksonville, LLC was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.