Organization Active NPI

Vincent Galiano M D P a

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1750499380
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME78889 Issued in FL
Legal business name
VINCENT GALIANO M D P A
Practice address
8031 Philips Hwy
#6
Jacksonville, FL 32256-4451
Phone
(904) 737-6313
Fax
(904) 739-1302
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Kimberly Masters
Title
Office Admin
Phone
(904) 737-6313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME78889 FL Primary

Addresses

Primary practice location

8031 Philips Hwy
#6
Jacksonville, FL 32256-4451

Mailing address

8031 Philips Hwy
#6
Jacksonville, FL 32256-4451
Phone (904) 737-6313

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041206000353 FL Part B Supplier - Clinic/Group Practice 6103882766 Receives reassigned benefits from 4 practitioners
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

8031 Philips Hwy
Ste 6
Jacksonville, FL 32256
Phone (904) 737-6212

5851 Timuquana Rd
Ste 201
Jacksonville, FL 32210
Phone (904) 737-6313

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1750499380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8031 PHILIPS HWY",
            "address_2": "#6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564451",
            "telephone_number": "904-737-6313",
            "fax_number": "904-739-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8031 PHILIPS HWY",
            "address_2": "#6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564451",
            "telephone_number": "904-737-6313",
            "fax_number": "904-739-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT GALIANO M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "MASTERS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OFFICE ADMIN",
        "authorized_official_telephone_number": "904-737-6313"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME78889",
            "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 Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.