Cogent Healthcare of Jacksonville, LLC

Organization Active NPI Internal Medicine Physician · Hudson, FL

NPI 1619624939 · NPPES record last updated Mar 7, 2022

Key facts

NPI
1619624939
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
COGENT HEALTHCARE OF JACKSONVILLE, LLC
Practice address
8041 State Road 52
Hudson, FL 34667-6726
Phone
(727) 863-5488
NPI assigned
Mar 7, 2022
Organization subpart
No

Authorized official

Name
Melissa Harlan
Title
Director of Payer Enrollment
Phone
(615) 577-6340

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Cogent Healthcare of Jacksonville LLC (23 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X Yes

Addresses

Primary practice location

8041 State Road 52
Hudson, FL 34667-6726

Mailing address

5410 Maryland Way Ste 300
Brentwood, TN 37027-5339
Phone (866) 765-0513

Other providers in Hudson, FL

All providers in Hudson, FL · Internal Medicine Physician in Florida

Sources for this page

Verify at the official NPI Registry.