Organization Active NPI

Amelia Internal Medicine,P.a.

  • Internal Medicine Physician
  • Fernandina Beach, FL
National Provider Identifier
1083605349
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AMELIA INTERNAL MEDICINE,P.A.
Practice address
1250 S 18TH St
Suite 202
Fernandina Beach, FL 32034-1902
Phone
(904) 277-4690
Fax
(904) 277-8487
NPI assigned
Nov 4, 2005
Last updated
Mar 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Authorized official

Name
Gerald B Burford, M.D.
Title
President
Phone
(904) 277-4690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

1250 S 18TH St
Suite 202
Fernandina Beach, FL 32034-1902

Mailing address

1250 S 18TH St
Suite 202
Fernandina Beach, FL 32034-1902
Phone (904) 277-4690

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1083605349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S 18TH ST",
            "address_2": "SUITE 202",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341902",
            "telephone_number": "904-277-4690",
            "fax_number": "904-277-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S 18TH ST",
            "address_2": "SUITE 202",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341902",
            "telephone_number": "904-277-4690",
            "fax_number": "904-277-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMELIA INTERNAL MEDICINE,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "BURFORD",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-277-4690",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.