Active NPI
Medical Associates of North Florida, Inc.
- Interventional Pain Medicine Physician
- Jacksonville Beach, FL
National Provider Identifier
1801021787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- ME 80275
- Legal business name
- MEDICAL ASSOCIATES OF NORTH FLORIDA, INC.
- Practice address
- 3948 3Rd St S
Suite 1320
Jacksonville Beach, FL 32250-5847 - Phone
- (904) 328-2238
- Fax
- (904) 212-1719
- NPI assigned
- May 21, 2009
- 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. Douglas Michael Kleiner, PHD
- Title
- Ceo
- Phone
- (904) 328-2238
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | EMT 300287 | FL | |
| Registered Nurse | 163W00000X | RN 9182095 | FL | |
| Interventional Pain Medicine Physician | 208VP0014X | ME 80275 | FL | Primary |
| Other Specialist/Technologist | 246Z00000X | AL 377 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | FL |
Addresses
Primary practice location
3948 3Rd St S
Suite 1320
Jacksonville Beach, FL 32250-5847
Mailing address
3948 3Rd St S
Suite 1320
Jacksonville Beach, FL 32250-5847
Phone (904) 328-2238
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242864000000",
"number": "1801021787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3948 3RD ST S",
"address_2": "SUITE 1320",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322505847",
"telephone_number": "904-328-2238",
"fax_number": "904-212-1719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3948 3RD ST S",
"address_2": "SUITE 1320",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322505847",
"telephone_number": "904-328-2238",
"fax_number": "904-212-1719"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL ASSOCIATES OF NORTH FLORIDA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-21",
"last_updated": "2009-05-21",
"status": "A",
"authorized_official_last_name": "KLEINER",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "904-328-2238",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Basic",
"state": "FL",
"license": "EMT 300287",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN 9182095",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "ME 80275",
"primary": true
},
{
"code": "246Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other",
"state": "FL",
"license": "AL 377",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.