Jacksonville Institute of Family Care, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JACKSONVILLE INSTITUTE OF FAMILY CARE, P.A.

Practice address

4745 Sutton Park CT
Suite 801
Jacksonville, FL 32224-0250

Phone

(904) 992-0608

Fax

(904) 992-0670

NPI assigned

Nov 23, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Heber J Rosa, M.D.

Title

President

Phone

(904) 992-0608

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1851374896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 SUTTON PARK CT",
            "address_2": "SUITE 801",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240250",
            "telephone_number": "904-992-0608",
            "fax_number": "904-992-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 SUTTON PARK CT",
            "address_2": "SUITE 801",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240250",
            "telephone_number": "904-992-0608",
            "fax_number": "904-992-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE INSTITUTE OF FAMILY CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "ROSA",
        "authorized_official_first_name": "HEBER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-992-0608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31346",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacksonville Healthcare Group Inc
• Jacksonville Hospitalists PA
• Jacksonville Imaging Center, LLC
• Jacksonville Impotence Treatment Center
• Jacksonville Injury Treatment Center LLC
• Jacksonville Integrative Health LLC
• Jacksonville Internal Medicine
• Jacksonville Kidney Center LLC
• Jacksonville Kids Pediatrics LLC
• Jacksonville Lung Clinic PLLC

• Family Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.