Organization Active NPI

Advanced Medical Centers LLC

  • General Practice Physician
  • Jacksonville, FL
National Provider Identifier
1710194691
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ADVANCED MEDICAL CENTERS LLC
Practice address
7900 103Rd St
Suite 10
Jacksonville, FL 32210-6681
Phone
(904) 908-5780
Fax
(904) 908-5781
NPI assigned
May 17, 2007
Last updated
Nov 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Dr. F. Carter Wilson
Title
MGRM
Phone
(904) 908-5780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

7900 103Rd St
Suite 10
Jacksonville, FL 32210-6681

Mailing address

7900 103Rd St
Suite 10
Jacksonville, FL 32210-6681
Phone (904) 908-5780

National Provider Directory

National Provider Directory

Locations

7900 103rd St
Ste 10
Jacksonville, FL 32210
Phone (904) 908-5780

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1710194691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 103RD ST",
            "address_2": "SUITE 10",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322106681",
            "telephone_number": "904-908-5780",
            "fax_number": "904-908-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 103RD ST",
            "address_2": "SUITE 10",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322106681",
            "telephone_number": "904-908-5780",
            "fax_number": "904-908-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "F. CARTER",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "904-908-5780",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.