Organization Active NPI

Paul F Wubbena Jr MD PA

  • Allergy Physician
  • Jacksonville, FL
National Provider Identifier
1801008065
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
PAUL F WUBBENA JR MD PA
Practice address
11267 Harbour Woods Rd S
Jacksonville, FL 32225-1504
Phone
(904) 378-2880
Fax
(904) 646-7997
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Authorized official

Name
Dr. Paul F Wubbena Jr., MD
Title
President
Phone
(904) 378-2880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X Primary

Addresses

Primary practice location

11267 Harbour Woods Rd S
Jacksonville, FL 32225-1504

Mailing address

11267 Harbour Woods Rd S
Jacksonville, FL 32225-1504
Phone (904) 378-2880

National Provider Directory

National Provider Directory

Locations

1375 Roberts Dr
Jacksonville Beach, FL 32250
Phone (904) 378-2880

Practitioners & affiliated clinicians

Practitioners 1

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1801008065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11267 HARBOUR WOODS RD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322251504",
            "telephone_number": "904-378-2880",
            "fax_number": "904-646-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11267 HARBOUR WOODS RD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322251504",
            "telephone_number": "904-378-2880",
            "fax_number": "904-646-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL F WUBBENA JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "WUBBENA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-378-2880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "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 Feb 24, 2009; 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.