Phyzmed

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PHYZMED

Practice address

9550 Baymeadows Rd
Suite 9
Jacksonville, FL 32256-0710

Phone

(904) 739-7398

Fax

(904) 739-3888

NPI assigned

Sep 19, 2007

Organization subpart

No

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

Authorized official

Name

Wille E AndreNPI 1639277734

Title

President/Ceo

Phone

(904) 296-9090

Specialties & licenses 1

Addresses

Other names 1

• PhyzMed Rehab Doing business as

Locations

Practitioners 1

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

• Wille E Andre, PA

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1639277734
  NPD (past) Authorized official

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1093901464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY",
            "address_2": "SUITE 604",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166282",
            "telephone_number": "904-296-9090",
            "fax_number": "904-296-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 BAYMEADOWS RD",
            "address_2": "SUITE 9",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560710",
            "telephone_number": "904-739-7398",
            "fax_number": "904-739-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYZMED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "ANDRE",
        "authorized_official_first_name": "WILLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "904-296-9090"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PhyzMed Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Physicians Medical Centers-Jax, Inc.
• Physicians Resource Network of Jacksonville, Inc.
• Physicians United LLC
• Physiopower, LLC
• Physt
• Theodore Joseph Piano, D.P.M.
• Joshua Piasecki, DO
• Pic Homes, Inc.
• Alexandria Picano, PHARMD
• Patrick Picard

• General Practice Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.