NPIMap

Organization Active NPI

Naval Hospital Jacksonville

  • Military Hospital
  • Jacksonville, FL
National Provider Identifier
1326017419
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
20A 7245 Issued in CA
Legal business name
NAVAL HOSPITAL JACKSONVILLE
Practice address
2080 Child St
Naval Hospital Jacksonville- Internal Medicine Clinic
Jacksonville, FL 32214-5005
Phone
(904) 542-7910
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Dr. Michelle Marie Perello, DO
Title
Staff Physician
Phone
(904) 542-7911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X 20A 7245 CA Primary

Addresses

Primary practice location

2080 Child St
Naval Hospital Jacksonville- Internal Medicine Clinic
Jacksonville, FL 32214-5005

Mailing address

1754 Rustling Dr
Orange Park, FL 32003-8634
Phone (904) 215-9149

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1326017419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 RUSTLING DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320038634",
            "telephone_number": "904-215-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CHILD ST",
            "address_2": "NAVAL HOSPITAL JACKSONVILLE- INTERNAL MEDICINE CLINIC",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322145005",
            "telephone_number": "904-542-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVAL HOSPITAL JACKSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "PERELLO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "STAFF PHYSICIAN",
        "authorized_official_telephone_number": "904-542-7911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "CA",
            "license": "20A 7245",
            "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 Aug 13, 2008; 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.