Jacksonville Health Clinic PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JACKSONVILLE HEALTH CLINIC PA

Practice address

2030 Southside Boulevard
Suite C
Jacksonville, FL 32216

Phone

(904) 726-1797

Fax

(904) 726-1798

NPI assigned

Aug 18, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Soujanya Sangam, MDNPI 1457380214

Title

Owner

Phone

(904) 726-1797

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Soujanya Sangam, MD

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1457380214
  NPD (past) Authorized official

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881708733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 16486",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322466486",
            "telephone_number": "904-726-1797",
            "fax_number": "904-726-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 SOUTHSIDE BOULEVARD",
            "address_2": "SUITE C",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-726-1797",
            "fax_number": "904-726-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE HEALTH CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANGAM",
        "authorized_official_first_name": "SOUJANYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-726-1797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacksonville Foot Health Center
• Jacksonville Group Supply Inc
• Jacksonville Hand Associates P.a. (Jacksonville Hand Associates)
• Jacksonville Health & Wellness CNTR.
• Jacksonville Health Alliance, LLC
• Jacksonville Healthcare Group Inc (National Telemedicine Providers)
• Jacksonville Hospitalists PA (Cisca Pulmonary and Critical Care)
• Jacksonville Imaging Center, LLC
• Jacksonville Impotence Treatment Center (Jitc)
• Jacksonville Injury Treatment Center LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.