| Skilled Nursing Infectious Disease Llc | |
|
6817 Southpoint Parkway #801 Jacksonville FL 32216 | |
| (904) 537-3765 | |
| (904) 641-1017 |
| Full Name | Skilled Nursing Infectious Disease Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6817 Southpoint Parkway #801, Jacksonville, Florida |
| Authorized Official Name and Position | Ammala Cantrell (OWNER/MANAGER) |
| Authorized Official Contact | 9046735553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skilled Nursing Infectious Disease Llc Po Box 23338 Jacksonville FL 32241 Ph: (904) 673-5553 | Skilled Nursing Infectious Disease Llc 6817 Southpoint Parkway #801 Jacksonville FL 32216 Ph: (904) 537-3765 |
| NPI Number | 1679350722 |
|---|---|
| Provider Enumeration Date | 09/12/2023 |
| Last Update Date | 09/12/2023 |
| Medicare PECOS PAC ID | 5294185427 |
|---|---|
| Medicare Enrollment ID | O20231229001020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679350722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Pablo M Pella |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245347004 PECOS PAC ID: 2668453671 Enrollment ID: I20101019000130 |
C. Surgery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Riverside Ave, Jacksonville, FL 32202 Phone: 904-791-6632 | |
Id Associates Of Jacksonville Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Shircliff Way, Ste 610, Jacksonville, FL 32204 Phone: 904-387-5027 Fax: 904-387-2208 | |
Hong Tek Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4123 University Blvd S, Jacksonville, FL 32216 Phone: 904-388-3351 | |
Baptist Primary Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Riverside Ave Ste 103, Jacksonville, FL 32202 Phone: 904-353-5696 Fax: 904-390-7483 | |
Reginald L. Sykes, Sr, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3160 Edgewood Ave W, Jacksonville, FL 32209 Phone: 904-768-8222 Fax: 904-482-0373 |