MEDICARE: DR. KENDRA R CAGNIART M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	0101252347	VA
2	2084N0400X	Neurology Physician	ME156305	FL
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1093001109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENDRA R CAGNIART M.D.

Provider Business Mailing Address
First Line	:	PO BOX 746649
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6649
Country	:	US
Telephone Number	:	904-202-2092
Fax Number	:	904-376-4075

Provider Business Practice Location Address
First Line	:	841 PRUDENTIAL DR FL 10
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8329
Country	:	US
Telephone Number	:	904-398-5404
Fax Number	:	904-391-5545

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2011
Last Update Date	:	03/02/2026

Similar Medicare Providers

1962403949 — KATHERINE ELIZABETH STENBERG CURRY PA
Practice Location Address:

841 PRUDENTIAL DR , UFJAX - PEDIATRIC CARDIOTHORACIC SURGERY
JACKSONVILLE, FL
32207-8329

Practice Phone: 904-493-2288
Practice Fax: 904-493-2363

1841267267 — DR. CHRISTINE THOROGOOD SCHMITT MD
Practice Location Address:

841 PRUDENTIAL DR
JACKSONVILLE, FL
32207-8329

Practice Phone: 904-633-0920
Practice Fax: 904-633-0921

1851360952 — DR. GEORGE FOSTER ARMSTRONG JR. M.D.
Practice Location Address:

841 PRUDENTIAL DR , UFJP PEDIATRIC CARDIOVASCULAR CENTER
JACKSONVILLE, FL
32207-8329

Practice Phone: 904-493-1610
Practice Fax: 904-633-4113

1548229677 — DR. WILLIAM JAMES MARVIN JR. M.D.
Practice Location Address:

841 PRUDENTIAL DR , UFJP PEDIATRIC CARDIOVASCULAR CENTER
JACKSONVILLE, FL
32207-8329

Practice Phone: 904-493-1610
Practice Fax: 904-493-2363

1154380236 — MS. SHARON PASS REDFEARN ARNP
Practice Location Address:

841 PRUDENTIAL DR STE 280
JACKSONVILLE, FL
32207-8329

Practice Phone: 904-202-8550
Practice Fax: 904-393-7808

1992741342 — STEPHANIE REGAN LACEY DO
Practice Location Address:

841 PRUDENTIAL DR , UFJP PEDIATRIC CARDIOLOGY
JACKSONVILLE, FL
32207-8329

Practice Phone: 904-493-1610
Practice Fax: 904-493-2363

Directions to “ DR. KENDRA R CAGNIART M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.