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Provider Information for 1821186313

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

SHANDS JACKSONVILLE MEDICAL CENTER INC

Other Name:   Doing Business As: SHANDS JACKSONVILLE
Organization Subpart: NO

Organization NPI: 1821186313

Calendar   Last Updated:  2019-03-05
  Certification Date: 

Details

Name Value
NPI 1821186313
Enumeration Date 2006-10-10
NPI Type 2- Organization
Status Active
Authorized Official Information Name: MR. DEAN COCCHI
Title: CHIEF FINANCIAL OFFICER
Phone: 904-244-5013
Mailing Address 655 W 8TH ST
JACKSONVILLE, FL 32209-6511
United States

Phone: 904-244-8675 | Fax: 904-244-4027
View Map External Link
Primary Practice Address 655 W 8TH ST
JACKSONVILLE, FL 32209-6511
United States

Phone: 904-244-8675 | Fax: 904-244-4027
View Map External Link
Secondary Practice Address 1155 EAST 21ST ST
JACKSONVILLE, FL 32206-2401
United States

Phone: 904-244-1209 | Fax:
View Map External Link

3465 VILLAGE CENTER DR
JACKSONVILLE, FL 32206-8617
United States

Phone: 904-244-1209 | Fax:
View Map External Link

1122 W 11TH ST
JACKSONVILLE, FL 32209-6511
United States

Phone: 904-244-1209 | Fax:
View Map External Link

15255 MAX LEGGETT PKWY STE 6000 UF HEALTH ONCOLOGY NORTH
JACKSONVILLE, FL 32218-7273
United States

Phone: 904-244-3477 | Fax:
View Map External Link

15255 MAX LEGGETT PKWY STE 5600 UF HEALTH SLEEP CENTER NORTH
JACKSONVILLE, FL 32218-7273
United States

Phone: 904-244-1209 | Fax:
View Map External Link

4549 EMERSON ST BUILDING 2 STE 100
JACKSONVILLE, FL 32207-4961
United States

Phone: 904-244-1209 | Fax:
View Map External Link

15255 MAX LEGGETT PKWY 1ST AND 2ND FLOORS MEDICAL OFFICE BUILDING
JACKSONVILLE, FL 32218-7273
United States

Phone: 904-244-1209 | Fax:
View Map External Link

15255 MAX LEGGETT PKWY STE 4100
JACKSONVILLE, FL 32218-7273
United States

Phone: 904-244-3477 | Fax:
View Map External Link

7751 BAYMEADOWS RD E STE 205
JACKSONVILLE, FL 32256-5836
United States

Phone: 904-244-1209 | Fax:
View Map External Link

1699 S 14TH ST STE 1
FERNANDINA BEACH, FL 32034-1995
United States

Phone: 904-244-3477 | Fax:
View Map External Link

425 NORTH LEE ST STE 204
JACKSONVILLE, FL 32204-1127
United States

Phone: 904-277-3477 | Fax:
View Map External Link

2141 LOCH RANE BLVD STE 117
ORANGE PARK, FL 32073-4239
United States

Phone: 904-244-3477 | Fax:
View Map External Link

4549 EMERSON ST BUILDING 2 STE 300
JACKSONVILLE, FL 32207-4961
United States

Phone: 904-244-3477 | Fax:
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID FL 089120700
MEDICAID FL IP010067600
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 282N00000X - General Acute Care Hospital FL 4063
No 3416A0800X - Ambulance Air Transport FL 000404