Organization Active NPI

True Care Docs LLC

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1104372507
Registry record updated Aug 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ACN514 Issued in FL
Legal business name
TRUE CARE DOCS LLC
Practice address
8613 Old Kings Rd S
Unit 303
Jacksonville, FL 32217-4807
Phone
(904) 527-1055
NPI assigned
Aug 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2016

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

Authorized official

Name
Dr. Pradeep Khanna, MD
Title
MD/Credentialing
Phone
(904) 527-1055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ACN514 FL Primary

Addresses

Primary practice location

8613 Old Kings Rd S
Unit 303
Jacksonville, FL 32217-4807

Mailing address

8613 Old Kings Rd S
Unit 303
Jacksonville, FL 32217-4807
Phone (904) 527-1055

National Provider Directory

National Provider Directory

Locations

8613 Old Kings Rd S
Ste 303
Jacksonville, FL 32217
Phone (904) 527-1055

NPI Registry JSON

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

{
    "created_epoch": "1472256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472256000000",
    "number": "1104372507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8613 OLD KINGS RD S",
            "address_2": "UNIT 303",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174807",
            "telephone_number": "904-527-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8613 OLD KINGS RD S",
            "address_2": "UNIT 303",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174807",
            "telephone_number": "904-527-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE CARE DOCS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-27",
        "last_updated": "2016-08-27",
        "status": "A",
        "authorized_official_last_name": "KHANNA",
        "authorized_official_first_name": "PRADEEP",
        "authorized_official_title_or_position": "MD/CREDENTIALING",
        "authorized_official_telephone_number": "904-527-1055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ACN514",
            "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 Aug 27, 2016; 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.