Organization Active NPI

Ernst Nicolitz MD PA

  • Legal Medicine
  • Jacksonville, FL
National Provider Identifier
1033128152
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
ME31869 Issued in FL
Legal business name
ERNST NICOLITZ MD PA
Practice address
7051 Southpoint Pkwy
3Rd Floor
Jacksonville, FL 32216-8709
Phone
(904) 398-2720
Fax
(904) 398-6408
NPI assigned
Aug 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Authorized official

Name
Ernst Nicolitz, M.D.
Title
President
Phone
(904) 398-2720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 173000000X ME31869 FL Primary

Addresses

Primary practice location

7051 Southpoint Pkwy
3Rd Floor
Jacksonville, FL 32216-8709

Mailing address

7051 Southpoint Pkwy
3Rd Floor
Jacksonville, FL 32216-8713
Phone (904) 398-2720

National Provider Directory

National Provider Directory

Locations

1235 San Marco Blvd
Ste 301
Jacksonville, FL 32207
Phone (904) 398-2720

1420 Flagler Ave
Jacksonville, FL 32207
Phone (904) 398-2720

7051 Southpoint Pkwy S
#3
Jacksonville, FL 32216

7449 Merrill Rd
Jacksonville, FL 32277
Phone (904) 743-5700

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1033128152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7051 SOUTHPOINT PKWY",
            "address_2": "3RD FLOOR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168713",
            "telephone_number": "904-398-2720",
            "fax_number": "904-483-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 SOUTHPOINT PKWY",
            "address_2": "3RD FLOOR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168709",
            "telephone_number": "904-398-2720",
            "fax_number": "904-398-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNST NICOLITZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "NICOLITZ",
        "authorized_official_first_name": "ERNST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-398-2720",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME31869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.