Medical Professionals of North Florida

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

74226 Issued in FL

Legal business name

MEDICAL PROFESSIONALS OF NORTH FLORIDA

Practice address

1301 Plantation Island Dr S
Suite 106a
Saint Augustine, FL 32080-3108

Phone

(904) 460-9191

NPI assigned

Feb 11, 2009

Last updated

Feb 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jawad Samir Farhat, M.D.NPI 1114034709

Title

President

Phone

(904) 460-9191

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jawad Samir Farhat, MD

  • Internal Medicine Physician
  • St Augustine, FL
  • NPI 1114034709
  Authorized official Same address or phone

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1093954208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DR S",
            "address_2": "SUITE 106A",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320803108",
            "telephone_number": "904-460-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DR S",
            "address_2": "SUITE 106A",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320803108",
            "telephone_number": "904-460-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PROFESSIONALS OF NORTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "FARHAT",
        "authorized_official_first_name": "JAWAD",
        "authorized_official_middle_name": "SAMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-460-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "74226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256431900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Meadows Jr.
• David Michael Mecka, PA
• Med-Trans Corporation
• Medforce Clinical Solutions PLLC
• Medfund LLC (Horizon St. Augustine LLC)
• Medone, PLLC (MedOne at Saint Augustine)
• Michael R Medved, PA
• Jill M Meehan, LCSW
• Michael John Meehan, LCSW
• Megan Logan, LCSW, PA

• Internal Medicine Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.