Organization Active NPI

De Padua and de Padua MD PA

Doing business as Industrial Medicine Group

  • Primary Care Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1912178922
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME0040865 Issued in FL
Legal business name
DE PADUA AND DE PADUA MD PA
Doing business as
Industrial Medicine Group
Practice address
1205 Monument Rd
Suite 203
Jacksonville, FL 32225-7406
Phone
(904) 727-5120
Fax
(904) 727-5129
NPI assigned
Mar 18, 2008
Last updated
Mar 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Napoleon G De Padua, MDNPI 1497842975
Title
Owner
Phone
(904) 727-5120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME0040865 FL Primary

Addresses

Primary practice location

1205 Monument Rd
Suite 203
Jacksonville, FL 32225-7406

Mailing address

1205 Monument Rd
Suite 203
Jacksonville, FL 32225-7406
Phone (904) 727-5120

Other names 1

  • Industrial Medicine Group Doing business as

National Provider Directory

National Provider Directory

Locations

1205 Monument Rd
Ste 203
Jacksonville, FL 32225
Phone (904) 399-6353

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1912178922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 MONUMENT RD",
            "address_2": "SUITE 203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257406",
            "telephone_number": "904-727-5120",
            "fax_number": "904-727-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 MONUMENT RD",
            "address_2": "SUITE 203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257406",
            "telephone_number": "904-727-5120",
            "fax_number": "904-727-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE PADUA AND DE PADUA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "DE PADUA",
        "authorized_official_first_name": "NAPOLEON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-727-5120",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME0040865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Industrial Medicine Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 18, 2008; 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.