Organization Active NPI

Beaches Healthcare, P.a.

  • Internal Medicine Physician
  • Jacksonville Beach, FL
National Provider Identifier
1275655771
Registry record updated Jul 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BEACHES HEALTHCARE, P.A.
Practice address
357 11TH Ave S
Jacksonville Beach, FL 32250-5153
Phone
(904) 249-6556
Fax
(904) 270-2263
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2007

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

Authorized official

Name
Alice J Reed, MDNPI 1356355796
Title
Owner
Phone
(904) 249-6556

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

357 11TH Ave S
Jacksonville Beach, FL 32250-5153

Mailing address

357 11TH Ave S
Jacksonville Beach, FL 32250-5153
Phone (904) 249-6556

National Provider Directory

National Provider Directory

Locations

357 11th Ave S
Jax Bch, FL 32250
Phone (904) 249-6556

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184976000000",
    "number": "1275655771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 11TH AVE S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505153",
            "telephone_number": "904-249-6556",
            "fax_number": "904-270-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 11TH AVE S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505153",
            "telephone_number": "904-249-6556",
            "fax_number": "904-270-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHES HEALTHCARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-21",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-249-6556",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2007; 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.