Practice Management Associates Jacksonville

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

PRACTICE MANAGEMENT ASSOCIATES JACKSONVILLE

Doing business as

A.M.C. of Jacksonville

Practice address

7999 Philips Hwy
Unit 305
Jacksonville, FL 32256-4443

Phone

(904) 503-9646

NPI assigned

Feb 10, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Branch

Title

Managing Officer

Phone

(904) 503-9646

Specialties & licenses 1

Addresses

Other names 1

• A.M.C. of Jacksonville Doing business as

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1942691035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7999 PHILIPS HWY",
            "address_2": "UNIT 305",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7999 PHILIPS HWY",
            "address_2": "UNIT 305",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564443",
            "telephone_number": "904-503-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICE MANAGEMENT ASSOCIATES JACKSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "BRANCH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "904-503-9646",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A.M.C. of Jacksonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany N Poynter, ATC, LAT
• Prasanna S Prabhu, MD
• Sudhir L Prabhu, M.D.
• Prac Holdings, Inc. (Arcadia Home Care & Staffing)
• Practical Neuropsychiatry Inc
• Ashutosh Ashok Pradhan, MD
• Sala R Pradhan, ARNP
• Amanda Prado, CRNA
• Bernardita Prado, D.C.
• Leticia Prado

• Addiction Medicine (Family Medicine) Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Addiction Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.