NPIMap

Organization Active NPI

Florida Physicians & Research Assoc

  • Cardiovascular Disease Physician
  • Jacksonville, FL
National Provider Identifier
1912920372
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
FLORIDA PHYSICIANS & RESEARCH ASSOC
Practice address
6428 Beach Blvd
Jacksonville, FL 32216
Phone
(904) 724-1717
Fax
(904) 724-1719
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Ms. Connie A Grassler
Title
Billing
Phone
(904) 724-1717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

6428 Beach Blvd
Jacksonville, FL 32216

Mailing address

6428 Beach Blvd
Jacksonville, FL 32216
Phone (904) 724-1717

National Provider Directory

National Provider Directory

Locations

6444 Beach Blvd
Jacksonville, FL 32216
Phone (904) 580-8126

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1912920372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6428 BEACH BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-724-1717",
            "fax_number": "904-724-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6428 BEACH BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-724-1717",
            "fax_number": "904-724-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PHYSICIANS & RESEARCH ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "GRASSLER",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "904-724-1717",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 15, 2014; 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.