Frederic Frank Porcase II, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS3927 Issued in FL

Practice address

14011 Beach Blvd
Suite 120
Jacksonville Beach, FL 32250-1507

Phone

(904) 223-6400

Fax

(904) 223-6420

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1376569350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 ARGYLE FOREST BLVD.",
            "address_2": "STE. 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322445597",
            "telephone_number": "904-282-6331",
            "fax_number": "904-282-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14011 BEACH BLVD",
            "address_2": "SUITE 120",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501507",
            "telephone_number": "904-223-6400",
            "fax_number": "904-223-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORCASE",
        "first_name": "FREDERIC",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS3927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040812300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080148957",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Pitts
• Reagan K Pobst, PA-C
• Podiatry & Barefoot Wellness Centers LLC
• Podiatry Associates of Florida Inc
• Robert Michael Poland, RPH
• Adriana Posada, DOM, AP
• Aida Y Powe, RN
• Prado Chiropractic and Acupuncture
• Preferred Nutrition Services, LLC
• Proactive Anesthesia Management LLC

• Family Medicine Physician in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; 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.