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Export Provider Record NPI 1053417428
Perry J ColeM.D.
Active
NPI Number1053417428
NPI TypeNPI-1 Individual
SpecialtyAnesthesiology, Pain Medicine
Provider Details
NPI1053417428
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-09-15
Last Updated2024-05-07
Mailing Address3100 University Blvd S, Suite 300
Jacksonville, FL 32216-2742
United States
Phone: (904) 274-8813 | Fax: (904) 503-4465
📍 View Map
Primary Practice Address3100 University Blvd S, Suite 300
Jacksonville, FL 32216-2742
United States
Phone: (904) 274-8813 | Fax: (904) 503-4465
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDFL271976200
Other (non-Medicare)FL614424600OWCP - FECA
Other (non-Medicare)FL62728BCBS
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207LP2900X – Anesthesiology, Pain MedicineFLME83999
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About NPI 1053417428

Perry J Cole M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053417428. The primary specialty listed is Anesthesiology, Pain Medicine. The provider is located in Jacksonville, FL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1053417428?

NPI 1053417428 belongs to Perry J Cole M.D., a Anesthesiology, Pain Medicine in Jacksonville, FL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1053417428 active?

The current status of NPI 1053417428 in the NPPES registry is Active. The record was last updated on 2024-05-07.

What specialty is NPI 1053417428?

NPI 1053417428 is classified under the taxonomy Anesthesiology, Pain Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1053417428?

You can verify NPI 1053417428 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1053417428?

The primary practice address on file for NPI 1053417428 is 3100 University Blvd S, Jacksonville, FL 32216-2742. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1053417428 issued?

NPI 1053417428 was first issued (enumerated) on 2006-09-15. The NPPES record was last updated on 2024-05-07.

Practice Location Map

Perry J Cole is located at 3100 University Blvd S, Jacksonville, FL. Use the map below to find directions or verify the practice location.

📍 3100 University Blvd S, Jacksonville, FL 32216-2742  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Perry J Cole. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1053417428. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Anesthesiology, Pain MedicineME83999FL
Data Verified from CMS NPPES Last synced: 2026-06-15 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162