Jing-Jing Mamaba Cardona, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME111613 Issued in FL

Practice address

10175 Fortune Pkwy Unit 1101
Jacksonville, FL 32256-6757

Phone

(904) 551-4625

Fax

(904) 990-1491

NPI assigned

Jan 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 29, 2020 through May 29, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750550400000",
    "number": "1457331415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 FORTUNE PKWY UNIT 1101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566757",
            "telephone_number": "904-551-4625",
            "fax_number": "904-990-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 FORTUNE PKWY UNIT 1101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566757",
            "telephone_number": "904-551-4625",
            "fax_number": "904-990-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONA",
        "first_name": "JING-JING",
        "middle_name": "MAMABA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2025-06-22",
        "certification_date": "2025-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "FL",
            "license": "89992241",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME111613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01201933",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cardiothoracic & Vascular Surgical Associates PA
• Cardiothoracic & Vascular Surgical Associates PA
• Cardiovascular Associates of Jacksonville PA
• Camila Margarita Cardona-Garcia
• Gerald Cardona
• Katherine Cardona, AUD
• Kathryn Cardona, NP
• Beatriz Isabel Cardoso, RBT
• Milena Cardozo, MD.
• Jamison Howard Cardwell, C-AA

• Family Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, 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 Jun 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.