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General NPI Number Information
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NPI Number | 1609393594
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Entity Type | Organization
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Legal Business Name | ACE MEDICAL LLC
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 665 STATE ROAD 207 STE 101B
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City | ST AUGUSTINE
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State | FL
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Zip | 32084-5939
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Country | US
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Telephone | 904-342-0816
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Fax | 904-342-0553
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Provider Business Mailing Address
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Address Line | 6428 BEACH BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32216-2813
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Country | US
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Telephone | 904-475-2039
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Fax | 904-330-0668
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MADHUKAR SHARMA
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Credential |
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Telephone | 904-718-3184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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