Paul D. Zawatsky, MD, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME63004 Issued in FL

Legal business name

PAUL D. ZAWATSKY, MD, PA

Practice address

11481 Old Saint Augustine Rd Ste 103
Jacksonville, FL 32258-1474

Phone

(904) 260-8424

Fax

(904) 341-4777

NPI assigned

Feb 2, 2012

Organization subpart

No

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

Authorized official

Name

Paul D. Zawatsky, MDNPI 1164431037

Title

President

Phone

(904) 260-8424

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Paul D. Zawatsky, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1164431037

  Sports Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1265704530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 MOSSWOOD CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322233255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11481 OLD SAINT AUGUSTINE RD STE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322581474",
            "telephone_number": "904-260-8424",
            "fax_number": "904-341-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL D. ZAWATSKY, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "ZAWATSKY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-260-8424",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME63004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Teresa Manuel Pattugalan
• Mindy L Paturzzio, PHARMD
• Jason Richard Patzwald, DO
• Jamie Desiree Paugam
• Amy Brown Paugh
• Paul F Wubbena Jr MD PA
• Paul Fulghum OD PA
• Carla Joica Paul Michel, APRN
• Paul Napier Behavioral Consultation Services - Doctors Lake, LLC
• Paul Napier Behavioral Consultation Services LLC

• Primary Care Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.