Active NPI
Camden Elite Care LLC
- General Practice Physician
- Jacksonville, FL
National Provider Identifier
1881219277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- CAMDEN ELITE CARE LLC
- Practice address
- 10257 Magnolia Ridge Dr
Jacksonville, FL 32210-4991 - Phone
- (904) 528-6357
- NPI assigned
- Jun 11, 2020
- 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
- La Toya Dawson
- Title
- Billing Director
- Phone
- (352) 231-7551
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
10257 Magnolia Ridge Dr
Jacksonville, FL 32210-4991
Mailing address
10257 Magnolia Ridge Dr
Jacksonville, FL 32210-4991
Phone (904) 528-6357
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Jacksonville |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785801600000",
"number": "1881219277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10257 MAGNOLIA RIDGE DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322104991",
"telephone_number": "904-528-6357",
"fax_number": "646-337-1749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10257 MAGNOLIA RIDGE DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322104991",
"telephone_number": "904-528-6357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMDEN ELITE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-11",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A",
"authorized_official_last_name": "DAWSON",
"authorized_official_first_name": "LA TOYA",
"authorized_official_title_or_position": "BILLING DIRECTOR",
"authorized_official_telephone_number": "352-231-7551"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Jacksonville",
"affiliation": "N",
"address_1": "10257 Magnolia Ridge Dr",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322104991",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.