| North Florida Integrative Medicine | |
|
915 W Monroe St Ste 301 Jacksonville FL 32204 | |
| (904) 353-8562 | |
| Not Available |
| Full Name | North Florida Integrative Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 915 W Monroe St Ste 301, Jacksonville, Florida |
| Authorized Official Name and Position | Anil George (PRESIDENT) |
| Authorized Official Contact | 9043538562 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Florida Integrative Medicine 915 W Monroe St Ste 301 Jacksonville FL 32204-1177 Ph: (904) 353-8562 | North Florida Integrative Medicine 915 W Monroe St Ste 301 Jacksonville FL 32204 Ph: (904) 353-8562 |
| NPI Number | 1548326242 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 03/27/2019 |
| Medicare PECOS PAC ID | 8628096195 |
|---|---|
| Medicare Enrollment ID | O20051103000790 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548326242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Anil George |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679639470 PECOS PAC ID: 9234104944 Enrollment ID: I20040826001305 |
| Provider Name | Satya S Davuluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821294182 PECOS PAC ID: 8022191493 Enrollment ID: I20080207000511 |
| Provider Name | Paige L Bates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861681025 PECOS PAC ID: 9739237082 Enrollment ID: I20090427000130 |
| Provider Name | Beverly Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730619891 PECOS PAC ID: 7315298494 Enrollment ID: I20180928002310 |
| Provider Name | Brittany Np Mcnutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750940912 PECOS PAC ID: 4486981552 Enrollment ID: I20190812003706 |
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