MEDICARE: JACKSONVILLE HOSPITALISTS PA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician
3	207RP1001X	Pulmonary Disease Physician
4	208M00000X	Hospitalist Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871535492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JACKSONVILLE HOSPITALISTS PA

Provider Business Mailing Address
First Line	:	8613 OLD KINGS RD S STE 602
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32217-4863
Country	:	US
Telephone Number	:	904-493-3390
Fax Number	:	904-493-3395

Provider Business Practice Location Address
First Line	:	8613 OLD KINGS RD S STE 602
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32217-4863
Country	:	US
Telephone Number	:	904-493-3390
Fax Number	:	904-493-3395

Authorized Official
Title or Position	:	CEO
Name	:	ANDREW ESCAMILLA
Credential	:
Telephone Number	:	904-493-3390

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	01/17/2023

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Directions to “JACKSONVILLE HOSPITALISTS PA ” Practice Location

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