| Northeast Florida Health Solution Inc. | |
|
7901 James Island Trl Jacksonville FL 32256-7379 | |
| (904) 388-2540 | |
| (904) 387-6800 |
| Full Name | Northeast Florida Health Solution Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 7901 James Island Trl, Jacksonville, Florida |
| Authorized Official Name and Position | Bashir Ahmed (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9043882540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Florida Health Solution Inc. 7901 James Island Trl Jacksonville FL 32256-7379 Ph: (904) 803-7395 | Northeast Florida Health Solution Inc. 7901 James Island Trl Jacksonville FL 32256-7379 Ph: (904) 388-2540 |
| NPI Number | 1891141925 |
|---|---|
| Provider Enumeration Date | 05/07/2016 |
| Last Update Date | 08/12/2024 |
| Medicare PECOS PAC ID | 4385930346 |
|---|---|
| Medicare Enrollment ID | O20160831001485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891141925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Bashir Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861466641 PECOS PAC ID: 7719918341 Enrollment ID: I20050824000157 |
| Provider Name | Francois R. Roche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760795108 PECOS PAC ID: 1557485877 Enrollment ID: I20121012000506 |
| Provider Name | Annamarie Loyola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184117574 PECOS PAC ID: 3870847965 Enrollment ID: I20181107003330 |
| Provider Name | Tina Joyner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467143032 PECOS PAC ID: 6608228457 Enrollment ID: I20240117004279 |
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