NPIMap

Organization Active NPI

Quality Primary Care P a

  • Primary Care Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1245525518
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
P10000084848 Issued in FL
Legal business name
QUALITY PRIMARY CARE P A
Practice address
11048 Baymeadows Rd
Ste 9
Jacksonville, FL 32256-9699
Phone
(904) 854-7911
Fax
(904) 854-7912
NPI assigned
Jun 15, 2011
Last updated
Jun 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Authorized official

Name
Nicholas Dodaro, M.D.NPI 1851310692
Title
President
Phone
(904) 854-7911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X P10000084848 FL Primary

Addresses

Primary practice location

11048 Baymeadows Rd
Ste 9
Jacksonville, FL 32256-9699

Mailing address

11048-9 Baymeadows Road
Jacksonville, FL 32256
Phone (904) 854-7911

National Provider Directory

National Provider Directory

Locations

11048 Baymeadows Rd
Unit 9
Jacksonville, FL 32256
Phone (904) 854-7911

Practitioners & affiliated clinicians

Practitioners 77

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 77

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1245525518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11048-9 BAYMEADOWS ROAD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-854-7911",
            "fax_number": "904-854-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11048 BAYMEADOWS RD",
            "address_2": "STE 9",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569699",
            "telephone_number": "904-854-7911",
            "fax_number": "904-854-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY PRIMARY CARE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "DODARO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-854-7911",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "P10000084848",
            "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 Jun 23, 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.