Marigold Family Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MARIGOLD FAMILY CARE LLC

Practice address

5235 Angel Lake Dr
Jacksonville, FL 32218-7544

Phone

(904) 274-2007

Fax

(850) 248-2469

NPI assigned

Apr 12, 2024

Organization subpart

No

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

Authorized official

Name

Maria J Jackson, APRNNPI 1952972754

Title

Owner

Phone

(850) 276-5731

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Maria Jozette Jackson, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1952972754
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1124872502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5235 ANGEL LAKE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187544",
            "telephone_number": "850-276-5731",
            "fax_number": "850-248-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5235 ANGEL LAKE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187544",
            "telephone_number": "904-274-2007",
            "fax_number": "850-248-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIGOLD FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-276-5731",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Marichal
• Eduardo J Mariel, M.D.
• Marietta Dental Group
• Marietta Pharmacy LLC
• Erick Momanyi Marigi, MD
• Iris Marin Collazo, MD
• Gredymar Patricia Marin Tovar, MD
• Stefana Marin-Danciu
• Stephanie Jean Marin-Field, MSW, LCSW
• Candace Joy Marin, RBT

• 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 Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.