Northeast Florida Medical Solutions, PLLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9105630 Issued in FL

Legal business name

NORTHEAST FLORIDA MEDICAL SOLUTIONS, PLLC

Practice address

1166 Autumn Point CT
Jacksonville, FL 32218-9029

Phone

(904) 703-3041

NPI assigned

Dec 21, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Marcio Correa, PA-C

Title

Ceo/PA-C

Phone

(904) 703-3041

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1821367764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 AUTUMN POINT CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322189029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 AUTUMN POINT CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322189029",
            "telephone_number": "904-703-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST FLORIDA MEDICAL SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "MARCIO",
        "authorized_official_title_or_position": "CEO/PA-C",
        "authorized_official_telephone_number": "904-703-3041",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Florida Eye Care Associates
• Northeast Florida Health Solution Inc.
• Northeast Florida Healthy Start Coalition, Inc.
• Northeast Florida Joint Preservation and Cartilage Restoration Center
• Northeast Florida Limb Preservation and Complex Wound Care Specialists
• Northeast Florida Pediatric Associates, P.a.
• Northeast Florida Pediatric Associates, P.a.
• Northeast Support Coordination Services Inc
• Northern Florida Anesthesia Services PLLC
• Northern Jacksonville Acquisitions, LLC

• Physician Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.