Cogent Healthcare of Jacksonville, LLC

Organization Active NPI Internal Medicine Physician · Wilton Manors, FL

NPI 1801470307 · NPPES record last updated May 11, 2021

Key facts

NPI
1801470307
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
COGENT HEALTHCARE OF JACKSONVILLE, LLC
Practice address
2675 N Andrews Ave
Wilton Manors, FL 33311-2509
Phone
(954) 563-5711
NPI assigned
May 11, 2021
Organization subpart
No

Authorized official

Name
Melissa Harlan
Title
Director
Phone
(615) 577-6340

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Cogent Healthcare of Jacksonville LLC (23 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X Yes

Addresses

Primary practice location

2675 N Andrews Ave
Wilton Manors, FL 33311-2509

Mailing address

5410 Maryland Way Ste 300
Brentwood, TN 37027-5339
Phone (615) 577-6340

Other identifiers

IdentifierTypeStateIssuer
001651545MedicaidFL

Other providers in Wilton Manors, FL

All providers in Wilton Manors, FL · Internal Medicine Physician in Florida

Sources for this page

Verify at the official NPI Registry.