Organization Active NPI

Internal Medicine of Jacksonville

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1043279680
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTERNAL MEDICINE OF JACKSONVILLE
Practice address
1201 Monument Rd
Ste 201
Jacksonville, FL 32225-7411
Phone
(904) 727-5151
Fax
(904) 727-7714
NPI assigned
Mar 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Dr. Oscar Enrique Rodos, MD
Title
Owner
Phone
(904) 727-5151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1201 Monument Rd
Ste 201
Jacksonville, FL 32225-7411

Mailing address

1201 Monument Rd
Ste 201
Jacksonville, FL 32225
Phone (904) 727-5151

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1043279680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MONUMENT RD",
            "address_2": "STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32225",
            "telephone_number": "904-727-5151",
            "fax_number": "904-727-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MONUMENT RD",
            "address_2": "STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257411",
            "telephone_number": "904-727-5151",
            "fax_number": "904-727-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE OF JACKSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "RODOS",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-727-5151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Oct 31, 2007; 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.