Active NPI
Reynaldo G Fermo MD PA
- Family Medicine Physician
- Jacksonville, FL
National Provider Identifier
1346556248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- REYNALDO G FERMO MD PA
- Practice address
- 7855 Argyle Forest Blvd
# 804
Jacksonville, FL 32244-5596 - Phone
- (904) 421-2119
- NPI assigned
- Aug 30, 2010
- Last updated
- Aug 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Reynalod F Fermo, MD
- Title
- Owner
- Phone
- (904) 421-2119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
7855 Argyle Forest Blvd
# 804
Jacksonville, FL 32244-5596
Mailing address
7855 Argyle Forest Blvd
# 804
Jacksonville, FL 32244-5596
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1001828 | Reynaldo G Fermo Jr MD | Certificate of waiver | Oct 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
7855 Argyle Forest Blvd
Ste 804
Jacksonville, FL 32244
Phone (904) 779-5870
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1598701302
-
- Family Nurse Practitioner
- Orange Park, FL
- NPI 1932534823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283126400000",
"number": "1346556248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7855 ARGYLE FOREST BLVD",
"address_2": "# 804",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322445596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7855 ARGYLE FOREST BLVD",
"address_2": "# 804",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322445596",
"telephone_number": "904-421-2119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REYNALDO G FERMO MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-30",
"last_updated": "2010-08-30",
"status": "A",
"authorized_official_last_name": "FERMO",
"authorized_official_first_name": "REYNALOD",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-421-2119",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"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 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.