Southside Medical Assoicates LLC
Organization Active NPI Internal Medicine Physician · Jaksonville, FL
NPI 1154577922 · NPPES record last updated Sep 29, 2008
Key facts
- NPI
- 1154577922
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- OS8120 (FL)
- Legal business name
- SOUTHSIDE MEDICAL ASSOICATES LLC
- Practice address
- 4203 Belfort Road
Jaksonville, FL 32216 - Phone
- (703) 556-6620
- Fax
- (703) 556-6625
- NPI assigned
- Aug 13, 2008
- Organization subpart
- No
Authorized official
- Name
- Ken Abramowittz
- Title
- Ceo
- Phone
- (703) 556-6620
Practitioners 1
-
Zehra Cumber, DO
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | OS8120 | FL | Yes |
Addresses
Primary practice location
4203 Belfort Road
Jaksonville, FL 32216
Mailing address
1950 Old Gallows Rd. # 220
Vienna, VA 22182
Phone (703) 556-6620
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.