30 Minute Medical Primary Care

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME96271 Issued in FL

Legal business name

30 MINUTE MEDICAL PRIMARY CARE

Doing business as

30 Min. Medical, LLC

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

Last updated

Aug 25, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

30 MIN. MEDICAL, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Biagio V Vultaggio, M.D.NPI 1396836706

Title

Chief Executive Officer

Phone

(904) 777-1650

Specialties & licenses 1

Addresses

Other names 1

• 30 Min. Medical, LLC Doing business as

Part of

30 Minute Medical LLC

Locations

Practitioners 3

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.

• Biagio V Vultaggio, MD

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1396836706
  NPD Authorized official
• James H Kaye, DO

  • Family Medicine Physician
  • Daytona Beach, FL
  • NPI 1881795979
  NPD (past)
• Jaynell Smith-Cameron, DPM

  • Foot & Ankle Surgery Podiatrist
  • Jacksonville, FL
  • NPI 1235276189
  NPD (past)

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1942515804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 ARGYLE FOREST BLVD.",
            "address_2": "SUITE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446314",
            "telephone_number": "904-777-1650",
            "fax_number": "904-777-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 ARGYLE FOREST BLVD",
            "address_2": "SUITE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446702",
            "telephone_number": "904-777-1650",
            "fax_number": "904-777-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "30 MINUTE MEDICAL PRIMARY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "30 MIN. MEDICAL, LLC",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "VULTAGGIO",
        "authorized_official_first_name": "BIAGIO",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "904-777-1650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME96271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "30 Min. Medical, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.