Reliance Medical Associates of Jax LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME121788 Issued in FL

Legal business name

RELIANCE MEDICAL ASSOCIATES OF JAX LLC

Doing business as

Reliance Primary & Urgent Care

Practice address

8833 Perimeter Park Blvd Ste 503
Jacksonville, FL 32216-1110

Phone

(904) 687-1055

Fax

(904) 687-2141

NPI assigned

Nov 22, 2017

Last updated

Jul 10, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vishal C Patel, MDNPI 1255542262

Title

Physician

Phone

(321) 506-3925

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Reliance Primary & Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vishal Chandubhai Patel, MD

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1255542262
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1023522315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 COUNTY ROAD 210 W STE 108",
            "address_2": "PMB 257",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322594060",
            "telephone_number": "321-506-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8833 PERIMETER PARK BLVD STE 503",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161110",
            "telephone_number": "904-687-1055",
            "fax_number": "904-687-2141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7163 E Mount Vernon St",
            "address_purpose": "LOCATION",
            "city": "Glen Saint Mary",
            "state": "FL",
            "postal_code": "320405085",
            "country_code": "US",
            "telephone_number": "904-687-1055",
            "fax_number": "904-687-2141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RELIANCE MEDICAL ASSOCIATES OF JAX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "321-506-3925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME121788",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME121788",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME121788",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME121788",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108669600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reliance Primary & Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.