Active NPI
Victor Joseph Luz, MD
- Pediatrics Physician
- Jacksonville, FL
National Provider Identifier
1932272291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME83845
- Practice address
- 1631 Race Track Rd Ste 101
Jacksonville, FL 32259 - Phone
- (904) 230-7977
- Fax
- (904) 230-7979
- NPI assigned
- Nov 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME83845 | FL | Primary |
Addresses
Primary practice location
1631 Race Track Rd Ste 101
Jacksonville, FL 32259
Mailing address
1631 Race Track Rd Ste 101
Jacksonville, FL 32259-3233
Phone (904) 230-7977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 263973400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME83845 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates of Julington Creek | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JCFAAA
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Jacksonville, FL
- NPI 1235276254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319673600000",
"number": "1932272291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1631 RACE TRACK RD STE 101",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322593233",
"telephone_number": "904-230-7977",
"fax_number": "904-230-7979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 RACE TRACK RD STE 101",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32259",
"telephone_number": "904-230-7977",
"fax_number": "904-230-7979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUZ",
"first_name": "VICTOR",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2011-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME83845",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "263973400",
"state": "FL"
}
],
"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 Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.