Active NPI
Drmatiashealthcenter
- Internal Medicine Physician
- Jacksonville, FL
National Provider Identifier
1093348062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- DRMATIASHEALTHCENTER
- Practice address
- 5150 Belfort Rd BLDG 400
Jacksonville, FL 32256-6026 - Phone
- (904) 868-1887
- NPI assigned
- Feb 19, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Annabelle M Matias-Leon, MD
- Title
- President
- Phone
- (904) 868-1887
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
5150 Belfort Rd BLDG 400
Jacksonville, FL 32256-6026
Mailing address
5150 Belfort Rd BLDG 400
Jacksonville, FL 32256-6026
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Jacksonville | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
5150 Belfort Rd
Bldg 400
Jacksonville, FL 32256
Phone (904) 296-0900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1194709725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582070400000",
"number": "1093348062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 BELFORT RD BLDG 400",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5150 BELFORT RD BLDG 400",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566026",
"telephone_number": "904-868-1887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRMATIASHEALTHCENTER",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-19",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A",
"authorized_official_last_name": "MATIAS-LEON",
"authorized_official_first_name": "ANNABELLE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-868-1887",
"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": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Jacksonville",
"affiliation": "N",
"endpointDescription": "EHR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5150 Belfort Rd Bldg 400",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322566026",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.