MEDICARE: DR. LOUIS R. LOTHMAN FL. LICENSED MARRIAG

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	101YP1600X	Pastoral Counselor	3181
2	106H00000X	Marriage & Family Therapist	MT1294	FL

General Provider Information

NPI Number	:	1114467834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOUIS R. LOTHMAN FL. LICENSED MARRIAG

Provider Business Mailing Address
First Line	:	3734 SAN VISCAYA DR.
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32217
Country	:	US
Telephone Number	:	904-631-9198
Fax Number	:

Provider Business Practice Location Address
First Line	:	3734 SAN VISCAYA DR.
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32217
Country	:	US
Telephone Number	:	904-631-9198
Fax Number	:

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

Provider Enumeration Date	:	02/28/2017
Last Update Date	:	02/28/2017

Similar Medicare Providers

1558209742 — LINDSAY NUSSBAUM WALDRON
Practice Location Address:

3691 HILLIARD RD
JACKSONVILLE, FL
32217-4217

Practice Phone: 904-270-9111
Practice Fax:

1295298537 — CLAIRE ELIZABETH RAWLS
Practice Location Address:

6271 SAINT AUGUSTINE RD STE 1
JACKSONVILLE, FL
32217-2555

Practice Phone: 904-633-0750
Practice Fax: 904-633-0751

1740128263 — STEPHANIE FORHAN APRN
Practice Location Address:

5978 POWERS AVE
JACKSONVILLE, FL
32217-2210

Practice Phone: 904-399-2800
Practice Fax:

1346296795 — MARIA D IBACH PA
Practice Location Address:

6271 SAINT AUGUSTINE RD STE 1
JACKSONVILLE, FL
32217-2555

Practice Phone: 904-633-0460
Practice Fax: 904-633-0461

1528382751 — DR. WILLIAM CARRASQUILLO III D.C.M.
Practice Location Address:

2700 UNIVERSITY BLVD W STE C
JACKSONVILLE, FL
32217-2122

Practice Phone: 904-320-0807
Practice Fax:

1457206583 — BRITNEY MICHELLE HERNANDEZ GRIJALBA
Practice Location Address:

8777 SAN JOSE BLVD STE 503
JACKSONVILLE, FL
32217-4293

Practice Phone: 904-877-1507
Practice Fax:

1811303183 — DR. KEVIN CHRISTOPHER WIMAN DMD
Practice Location Address:

8823 GOODBYS EXECUTIVE DR
JACKSONVILLE, FL
32217-4605

Practice Phone: 470-336-2612
Practice Fax:

Directions to “ DR. LOUIS R. LOTHMAN FL. LICENSED MARRIAG” 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.