MEDICARE: FAMILY PRACTICE ASSOCIATES OF JACKSONVILLE

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1558353854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY PRACTICE ASSOCIATES OF JACKSONVILLE

Provider Business Mailing Address
First Line	:	6111 BEACH BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-2751
Country	:	US
Telephone Number	:	904-739-1140
Fax Number	:	904-722-1674

Provider Business Practice Location Address
First Line	:	6111 BEACH BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-2751
Country	:	US
Telephone Number	:	904-739-1140
Fax Number	:	904-722-1674

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STEPHEN J CLARK
Credential	:	M.D.
Telephone Number	:	904-739-1140

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1104826593 — STEPHEN CLARK M.D.
Practice Location Address:

6111 BEACH BLVD
JACKSONVILLE, FL
32216-2751

Practice Phone: 904-739-1140
Practice Fax: 904-722-1674

1710973268 — MR. DENVER D NUTTER M.D.
Practice Location Address:

6111 BEACH BLVD
JACKSONVILLE, FL
32216-2751

Practice Phone: 904-739-1140
Practice Fax: 904-722-9578

1073571550 — CHARLOTTE COTTON M.D.
Practice Location Address:

6111 BEACH BLVD
JACKSONVILLE, FL
32216-2751

Practice Phone: 904-739-1140
Practice Fax: 904-722-9578

1265482673 — MRS. JANA B ROBINSON ARNP
Practice Location Address:

6111 BEACH BLVD
JACKSONVILLE, FL
32216-2751

Practice Phone: 904-739-1140
Practice Fax: 904-722-9578

1790227411 — AUSTIN PHILLIPS
Practice Location Address:

2751 JACKSONVILLE RD
BELLEFONTE, PA
16823-7810

Practice Phone: 814-574-4554
Practice Fax:

1487425047 — JONATHAN REX
Practice Location Address:

1081 MIMOSA COVE CT W
JACKSONVILLE, FL
32233-2751

Practice Phone: 260-255-6447
Practice Fax:

Directions to “FAMILY PRACTICE ASSOCIATES OF JACKSONVILLE ” 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 © 2007-2025 (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.