Organization Active NPI

Qualified Emergency Group PA

Doing business as Emergency Medical Care of Florida

  • Urgent Care Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1760683189
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.