US Care Management, Inc.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

US CARE MANAGEMENT, INC.

Practice address

12740 Gran Bay Parkway
Suite #2400
Jacksonville, FL 32258-5495

Phone

(904) 281-0006

Fax

(904) 665-0097

NPI assigned

Oct 17, 2011

Organization subpart

Yes

Parent organization

US PREVENTIVE MEDICINE, INC.As reported in NPPES

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

Authorized official

Name

Mr. Charles Smithers

Title

Executive Vice President

Phone

(904) 281-0006

Specialties & licenses 1

Addresses

Part of

US Preventive Medicine Inc

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1184909509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12740 GRAN BAY PARKWAY",
            "address_2": "SUITE #2400",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585495",
            "telephone_number": "904-281-0006",
            "fax_number": "904-665-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12740 GRAN BAY PARKWAY",
            "address_2": "SUITE #2400",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585495",
            "telephone_number": "904-281-0006",
            "fax_number": "904-665-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US CARE MANAGEMENT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US PREVENTIVE MEDICINE, INC.",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "SMITHERS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "904-281-0006",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Public Health & General Preventive Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Public Health & General Preventive Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.