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30 Minute Medical Primary Care

Organization Active NPI Internal Medicine Physician · Jacksonville, FL

NPI 1942515804 · NPPES record last updated Aug 25, 2010

Key facts

NPI
1942515804
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
License
ME96271 (FL)
Legal business name
30 MINUTE MEDICAL PRIMARY CARE
Practice address
8540 Argyle Forest Blvd
Suite 6
Jacksonville, FL 32244-6702
Phone
(904) 777-1650
Fax
(904) 777-1665
NPI assigned
Aug 16, 2010
Organization subpart
Yes
Parent organization (as reported)
30 MIN. MEDICAL, LLC

Authorized official

Name
Dr. Biagio V Vultaggio, M.D. NPI 1396836706
Title
Chief Executive Officer
Phone
(904) 777-1650

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

Practitioners 3

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

National Provider Directory

Part of
30 Minute Medical LLC

Locations

8540 Argyle Forest Blvd
Ste 6
Jacksonville, FL 32244
Phone (904) 254-2459

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207R00000X ME96271 FL Yes

Addresses

Primary practice location

8540 Argyle Forest Blvd
Suite 6
Jacksonville, FL 32244-6702

Mailing address

8540 Argyle Forest Blvd.
Suite 6
Jacksonville, FL 32244-6314
Phone (904) 777-1650

Other names

  • 30 Min. Medical, LLC Doing business as

Other providers in Jacksonville, FL

All providers in Jacksonville, FL · Internal Medicine Physician in Florida

Sources for this page

Verify at the official NPI Registry.