Main Street Health LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAIN STREET HEALTH LLC

Practice address

2 Shircliff Way Ste 620
Jacksonville, FL 32204-4762

Phone

(904) 388-5265

Fax

(904) 387-2659

NPI assigned

Aug 14, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Abdi Abbassi, MD

Title

Owner

Phone

(904) 388-5265

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1568987360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SHIRCLIFF WAY STE 620",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044762",
            "telephone_number": "904-388-5265",
            "fax_number": "904-387-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHIRCLIFF WAY STE 620",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044762",
            "telephone_number": "904-388-5265",
            "fax_number": "904-387-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ABBASSI",
        "authorized_official_first_name": "ABDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-388-5265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Robert Maier, M.D.
• Sierra Rose Maihack, DPT
• Abby Maillet, PT,DPT
• Kristi Maimone, ARNP
• Santo Maimone, MD
• Domenic Mainelli
• Amar Mainra, MB BCH BAO
• Josie M Maione-McMahon, M.D.
• Cassidy Jordan Maisano, PT DPT
• Joseph Maisano, DPT

• 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 Jul 21, 2022; 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.