| NPI | 1326171190 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-03-13 |
| Last Updated | 2012-12-04 |
| Authorized Official | Suparna Gulani Medical Director Phone: 9042961010 |
| Mailing Address | 8075 Gate Pkwy W, Suite 102&103 Jacksonville, FL 32216-3684 United States Phone: (904) 296-1010 | Fax: (904) 296-0393 📍 View Map |
| Primary Practice Address | 8075 Gate Pkwy W, Suite 102&103 Jacksonville, FL 32216-3684 United States Phone: (904) 296-1010 | Fax: (904) 296-0393 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 174400000X – Specialist | FL | me83942 |
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About NPI 1326171190
Southside Family Practice &womens Health Pa is an organization registered in the CMS NPPES NPI Registry with NPI number 1326171190. The primary specialty listed is Specialist. The organization is located in Jacksonville, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-03-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1326171190?
NPI 1326171190 belongs to Southside Family Practice &womens Health Pa, a Specialist in Jacksonville, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1326171190 active?
The current status of NPI 1326171190 in the NPPES registry is Active. The record was last updated on 2012-12-04.
What specialty is NPI 1326171190?
NPI 1326171190 is classified under the taxonomy Specialist. 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 1326171190?
You can verify NPI 1326171190 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 1326171190?
The primary practice address on file for NPI 1326171190 is 8075 Gate Pkwy W, Jacksonville, FL 32216-3684. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1326171190 issued?
NPI 1326171190 was first issued (enumerated) on 2007-03-13. The NPPES record was last updated on 2012-12-04.
Practice Location Map
Southside Family Practice &womens Health Pa is located at 8075 Gate Pkwy W, Jacksonville, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Southside Family Practice &womens Health Pa. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1326171190. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Specialist | me83942 | FL |