Individual provider Active NPI

Nicholas Stagliano, MD

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1669965703
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME142595 Issued in FL
Practice address
6841 Blanding Blvd
Jacksonville, FL 32244-4418
Phone
(904) 862-2175
NPI assigned
Jun 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME142595 FL Primary

Addresses

Primary practice location

6841 Blanding Blvd
Jacksonville, FL 32244-4418

Mailing address

309 Palm Coast Pkwy NE
Palm Coast, FL 32137-3886

Other practice location 1

309 Palm Coast Pkwy NE
Palm Coast, FL 32137-3886
Phone (386) 446-9447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200731001383 FL Practitioner - Family Practice 6608114772 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Florida Atlantic University, College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Health Care Plan IncGroup PAC ID 9436201233, 97 clinicians

Practice addresses (Care Compare)

309 Palm Coast Pkwy NE
Palm Coast, FL 32137-3886
Phone (386) 756-0591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME142595FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
Dedicated Senior Medical Center of Florida, LLC Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Florida Health Care Plan, Inc CurrentSince Nov 28, 2002 Accepting new patients
Halifax Healthcare Systems Inc Family Medicine CurrentSince Apr 30, 2020 Accepting new patients
University of Florida Jacksonville Physicians Inc Family Medicine CurrentSince Aug 10, 2022 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Sep 1, 2022 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Florida Health Care Plan, Inc CurrentSince Nov 28, 2002 Accepting new patients

Locations

201 N Clyde Morris Blvd
Ste 200
Daytona Beach, FL 32114
Phone (386) 254-4165

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

1255 Lila St
Jacksonville, FL 32208
Phone (904) 244-5700

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

6841 Blanding Blvd
Jacksonville, FL 32244
Phone (904) 862-2175

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

775 W Granada Blvd
Ste 102
Ormond Beach, FL 32174
Phone (386) 425-4480

309 Palm Coast Pkwy NE
Palm Coast, FL 32137
Phone (386) 445-7073

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1669965703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 PALM COAST PKWY NE",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6841 BLANDING BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322444418",
            "telephone_number": "904-862-2175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Palm Coast Pkwy NE",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321373886",
            "country_code": "US",
            "telephone_number": "386-446-9447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAGLIANO",
        "first_name": "NICHOLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-13",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME142595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.