| Internal Medicine Associates Of Jacksonville P A | |
|
6320 Saint Augustine Rd Unit 12 Jacksonville FL 32217-2800 | |
| (904) 737-6200 | |
| (904) 737-6001 |
| Full Name | Internal Medicine Associates Of Jacksonville P A |
|---|---|
| Speciality | Internal Medicine |
| Location | 6320 Saint Augustine Rd, Jacksonville, Florida |
| Authorized Official Name and Position | Vadim Lev Madfis (PRESIDENT) |
| Authorized Official Contact | 9047376200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Associates Of Jacksonville P A 6320 Saint Augustine Rd Unit 12 Jacksonville FL 32217-2800 Ph: (904) 737-6200 | Internal Medicine Associates Of Jacksonville P A 6320 Saint Augustine Rd Unit 12 Jacksonville FL 32217-2800 Ph: (904) 737-6200 |
| NPI Number | 1184614166 |
|---|---|
| Provider Enumeration Date | 10/21/2005 |
| Last Update Date | 04/14/2009 |
| Medicare PECOS PAC ID | 5092865295 |
|---|---|
| Medicare Enrollment ID | O20090610000078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184614166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Vadim L Madfis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245229277 PECOS PAC ID: 7618027814 Enrollment ID: I20090610000117 |
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