| North Florida Medical Associates, Inc. | |
|
4131 University Blvd S #8 Jacksonville FL 32216-4326 | |
| (904) 733-3992 | |
| (904) 737-4344 |
| Full Name | North Florida Medical Associates, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4131 University Blvd S, Jacksonville, Florida |
| Authorized Official Name and Position | Elias Nicholas Saikali (PRESIDENT) |
| Authorized Official Contact | 9047333992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Florida Medical Associates, Inc. Po Box 160817 Altamonte Springs FL 32716-0817 Ph: (904) 886-5385 | North Florida Medical Associates, Inc. 4131 University Blvd S #8 Jacksonville FL 32216-4326 Ph: (904) 733-3992 |
| NPI Number | 1790770873 |
|---|---|
| Provider Enumeration Date | 09/15/2005 |
| Last Update Date | 02/10/2016 |
| Medicare PECOS PAC ID | 3476442633 |
|---|---|
| Medicare Enrollment ID | O20040315000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790770873 | NPI | - | NPPES |
| 271610100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS3216 (Florida) | Secondary |
| 207R00000X | Internal Medicine | ME51890 (Florida) | Primary |
| 207R00000X | Internal Medicine | ME0047248 (Florida) | Secondary |
| Provider Name | Lynn M Harper-nimock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164458865 PECOS PAC ID: 5890682868 Enrollment ID: I20040303000833 |
| Provider Name | Elias N Saikali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790774123 PECOS PAC ID: 6002705274 Enrollment ID: I20040315000505 |
| Provider Name | John C Hackenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083603245 PECOS PAC ID: 6204829468 Enrollment ID: I20040405001346 |
| Provider Name | Rogers Cain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073551255 PECOS PAC ID: 7911008198 Enrollment ID: I20070720000036 |
| Provider Name | George W Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598774531 PECOS PAC ID: 7618062498 Enrollment ID: I20071009000615 |
| Provider Name | Marylou V Ello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861642753 PECOS PAC ID: 0840350799 Enrollment ID: I20081121000270 |
| Provider Name | Nam-phuong T Lu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356374946 PECOS PAC ID: 7719044429 Enrollment ID: I20090325000312 |
| Provider Name | Sang H Chung |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1417968124 PECOS PAC ID: 9537293469 Enrollment ID: I20100814000088 |
| Provider Name | Gina M Mele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467772780 PECOS PAC ID: 6406970557 Enrollment ID: I20100826000791 |
| Provider Name | Nosshey Fawzi Hanna |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1699877647 PECOS PAC ID: 8820112493 Enrollment ID: I20100902001148 |
| Provider Name | Rickie Paul Sander |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346200987 PECOS PAC ID: 5193858827 Enrollment ID: I20110214000118 |
| Provider Name | Chitra Rajpal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376723205 PECOS PAC ID: 2769551126 Enrollment ID: I20111003000641 |
| Provider Name | Gerry L Surrency |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457771016 PECOS PAC ID: 6507083797 Enrollment ID: I20140812001697 |
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