| Cornerstone Family Medicine | |
|
9310 Old Kings Rd South Unit 1303 Jacksonville FL 32257-3225 | |
| (904) 900-3472 | |
| (904) 503-2373 |
| Full Name | Cornerstone Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 9310 Old Kings Rd South, Jacksonville, Florida |
| Authorized Official Name and Position | Anabel Carloto Castro (PHYSICIAN) |
| Authorized Official Contact | 9049003472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Family Medicine 9310 Old Kings Rd S Ste 1303 Jacksonville FL 32257-8100 Ph: (904) 900-3472 | Cornerstone Family Medicine 9310 Old Kings Rd South Unit 1303 Jacksonville FL 32257-3225 Ph: (904) 900-3472 |
| NPI Number | 1437590536 |
|---|---|
| Provider Enumeration Date | 07/17/2013 |
| Last Update Date | 08/12/2021 |
| Medicare PECOS PAC ID | 6608010384 |
|---|---|
| Medicare Enrollment ID | O20130919000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437590536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME101546 (Florida) | Primary |
| Provider Name | Anabel C Castro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275790982 PECOS PAC ID: 5991873341 Enrollment ID: I20081013000096 |
| Provider Name | Analyn Tesoro-ofiara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225529761 PECOS PAC ID: 9032450069 Enrollment ID: I20190401001296 |
| Provider Name | Michelle E Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437622107 PECOS PAC ID: 1355679762 Enrollment ID: I20190822004212 |
| Provider Name | Jose R Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629555834 PECOS PAC ID: 8921434200 Enrollment ID: I20200204002909 |
| Provider Name | Rosette Aileen Villanueva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588250591 PECOS PAC ID: 1759799810 Enrollment ID: I20210409001816 |
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