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VILLAGE MEDICAL - ST. JOHNS BLUFF
NPI 1912620675
Family Medicine in Jacksonville, FL

Active since September 19, 2022
11430 BEACH BLVD, JACKSONVILLE, FL 32246(407) 798-8800 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Village Medical - St. Johns Bluff NPPES

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

VILLAGE MEDICAL - ST. JOHNS BLUFF (NPI 1912620675) is a healthcare organization registered as a family medicine in Jacksonville, Florida and active in the NPI registry since September 2022. The organization lists Rebecca Rager, Director Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1912620675
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVMD PRIMARY PROVIDERS CENTRAL FLORIDA PLLC
Location Address11430 BEACH BLVDJacksonville, FL 32246-3806
Mailing Address4650 Westway Park Blvd Ste 206Houston, TX 77041-2006
Phone(407) 798-8800
Organization SubpartYes
Authorized OfficialRebecca RagerDirector Revenue Cycle · (844) 969-0686
Enumeration DateSeptember 19, 2022
Last NPPES UpdateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
✔ NPI 1912620675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedInternal MedicineTaxonomy 207R00000X
11430 BEACH BLVD, Jacksonville, FL 32246
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Other Names 1

Other NameVillage Medical - St. Johns Bluff

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

Other Providers at the Same Location NPPES 4

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

WALGREEN CO
Pharmacy
11430 BEACH BLVD
JACKSONVILLE, FL 32246
Duval County (904) 641-1581
MR. DANIEL R FIALLO PHARM.D
Pharmacist
11430 BEACH BLVD
JACKSONVILLE, FL 32246
Duval County (904) 641-1581
HAO YU CHEN PHARMD
Pharmacist
11430 BEACH BLVD
JACKSONVILLE, FL 32246
Duval County (904) 641-1581
RALPH LONG JR. PHARMD
Pharmacist
11430 BEACH BLVD
JACKSONVILLE, FL 32246
Duval County (904) 641-1581

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 Vmd Primary Providers Central Florida PLLC's NPI number?

The NPI number for Vmd Primary Providers Central Florida PLLC is 1912620675. It was assigned to this organization in the NPPES registry on September 19, 2022. The provider is also known as Village Medical - St. Johns Bluff.

Where is Vmd Primary Providers Central Florida PLLC located?

Vmd Primary Providers Central Florida PLLC is located at 11430 Beach Blvd, Jacksonville, FL 32246. The listed phone number is (407) 798-8800.

What is Vmd Primary Providers Central Florida PLLC'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 Vmd Primary Providers Central Florida PLLC was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.