Organization Active NPI

Ace Medical LLC

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1801313788
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ACE MEDICAL LLC
Practice address
6428 Beach Blvd
Jacksonville, FL 32216-2813
Phone
(904) 718-3184
Fax
(904) 330-0668
NPI assigned
Aug 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Dave Patel
Title
Manager
Phone
(904) 718-3184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

6428 Beach Blvd
Jacksonville, FL 32216-2813

Mailing address

6428 Beach Blvd
Jacksonville, FL 32216-2813
Phone (904) 718-3184

Other practice location 1

1100 S Ponce De Leon Blvd Ste 3A
St Augustine, FL 32084-6013
Phone (904) 718-3184

Other identifiers 1

IdentifierTypeStateIssuer
7635710003OtherNSC

National Provider Directory

National Provider Directory

Locations

3450 Dunn Ave
Ste 302
Jacksonville, FL 32218
Phone (904) 329-1904

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1801313788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6428 BEACH BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162813",
            "telephone_number": "904-718-3184",
            "fax_number": "904-330-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6428 BEACH BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162813",
            "telephone_number": "904-718-3184",
            "fax_number": "904-330-0668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 S Ponce De Leon Blvd Ste 3A",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320846013",
            "country_code": "US",
            "telephone_number": "904-718-3184",
            "fax_number": "904-330-0668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-718-3184"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC",
            "identifier": "7635710003",
            "state": null
        }
    ],
    "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 Sep 15, 2025; 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.