Active NPI
Qualified Emergency Group PA
Doing business as Emergency Medical Care of Florida
- Urgent Care Clinic/Center
- Jacksonville, FL
National Provider Identifier
1760683189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- QUALIFIED EMERGENCY GROUP PA
- Doing business as
- Emergency Medical Care of Florida
- Practice address
- 11048 Baymeadows Rd Unit 9
Jacksonville, FL 32256-9583 - Phone
- (904) 854-7911
- Fax
- (904) 854-7912
- NPI assigned
- May 31, 2007
- Last updated
- Sep 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nick Dodaro, M.D.
- Title
- Shareholder
- Phone
- (843) 260-4750
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
11048 Baymeadows Rd Unit 9
Jacksonville, FL 32256-9583
Mailing address
11048 Baymeadows Rd Unit 9
Jacksonville, FL 32256-9583
Phone (904) 854-7911
Other names 1
- Emergency Medical Care of Florida
National Provider Directory
National Provider DirectoryLocations
11048 Baymeadows Rd
Unit I
Jacksonville, FL 32256
Phone (904) 854-7911
11048 Baymeadows Rd
Unit 9
Jacksonville, FL 32256
Phone (904) 854-7911
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1184642225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285718400000",
"number": "1760683189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11048 BAYMEADOWS RD UNIT 9",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322569583",
"telephone_number": "904-854-7911",
"fax_number": "904-854-7912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11048 BAYMEADOWS RD UNIT 9",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322569583",
"telephone_number": "904-854-7911",
"fax_number": "904-854-7912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALIFIED EMERGENCY GROUP PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-31",
"last_updated": "2010-09-29",
"status": "A",
"authorized_official_last_name": "DODARO",
"authorized_official_first_name": "NICK",
"authorized_official_title_or_position": "SHAREHOLDER",
"authorized_official_telephone_number": "843-260-4750",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Emergency Medical Care of Florida",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.