| North Florida Primary Associates, Llc | |
|
10175 Fortune Pkwy Suite 802 Jacksonville FL 32256-6746 | |
| (904) 222-6176 | |
| (904) 425-7857 |
| Full Name | North Florida Primary Associates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10175 Fortune Pkwy, Jacksonville, Florida |
| Authorized Official Name and Position | Paresh Lalcheta (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9042226176 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Florida Primary Associates, Llc 12620 Beach Blvd Ste 3#155 Jacksonville FL 32246-7131 Ph: (904) 222-6176 | North Florida Primary Associates, Llc 10175 Fortune Pkwy Suite 802 Jacksonville FL 32256-6746 Ph: (904) 222-6176 |
| NPI Number | 1891179214 |
|---|---|
| Provider Enumeration Date | 07/15/2015 |
| Last Update Date | 04/29/2016 |
| Medicare PECOS PAC ID | 4981912029 |
|---|---|
| Medicare Enrollment ID | O20151009000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891179214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Paresh Lalcheta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588910343 PECOS PAC ID: 2668620964 Enrollment ID: I20120911000674 |
| Provider Name | Robin H Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629486501 PECOS PAC ID: 4789805102 Enrollment ID: I20141028000225 |
| Provider Name | Bartholomew Ndife |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407526411 PECOS PAC ID: 4587053012 Enrollment ID: I20211122002667 |
| Provider Name | Rabeya B Nazer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275255226 PECOS PAC ID: 9032587506 Enrollment ID: I20221115002135 |
| Provider Name | Pankaj Bansal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811108996 PECOS PAC ID: 0648333047 Enrollment ID: I20230208000904 |
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