Alameda Family Practice FL LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ALAMEDA FAMILY PRACTICE FL LLC

Doing business as

Alameda Family Practice FL LLC

Practice address

12627 San Jose Blvd Ste 801
Jacksonville, FL 32223-8644

Phone

(904) 467-5855

Fax

(505) 387-3937

NPI assigned

Mar 29, 2023

Last updated

Mar 29, 2023By 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

Piseth Knight, NP

Title

NP

Phone

(904) 467-5855

Specialties & licenses 1

Addresses

Other names 1

• ALAMEDA FAMILY PRACTICE FL LLC Doing business as

Locations

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1922702463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12627 SAN JOSE BLVD STE 801",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238644",
            "telephone_number": "904-467-5855",
            "fax_number": "505-387-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12627 SAN JOSE BLVD STE 801",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238644",
            "telephone_number": "904-467-5855",
            "fax_number": "505-387-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMEDA FAMILY PRACTICE FL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "PISETH",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "904-467-5855",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALAMEDA FAMILY PRACTICE FL LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jalis Azaa Al-Hindi
• Moataz S Al-Knawy, MBBS
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• Ayaat Alakashi, OD
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• Mustafa Alani, DDS
• Alania's Home Care,LLC

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.