Naval Hospital Jacksonville

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101235535 Issued in VA

Legal business name

NAVAL HOSPITAL JACKSONVILLE

Practice address

2080 Child St
Jacksonville, FL 32214-5005

Phone

(904) 542-7762

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eugene K Wilson III, MD

Title

Resident

Phone

(904) 542-7762

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1124050448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CHILD ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322145005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CHILD ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322145005",
            "telephone_number": "904-542-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVAL HOSPITAL JACKSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "RESIDENT",
        "authorized_official_telephone_number": "904-542-7762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101235535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Naugle
• Steven S Nauman, MD
• Nautilus Behavioral Health, PLLC
• Nautilus Health Care Group, LLC
• Naval Hospital at Jacksonville
• Naval Hospital Jacksonville
• Naval Hospital Jacksonville
• Naval Hospital Jacksonville
• Naval Hospital Jacksonville
• Naval Hospital Jacksonville

• Family Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Medicine 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.