Ammala Cantrell in Jacksonville - Family Medicine
Ammala Cantrell - NPI 1639159684
Ammala Cantrell is a Family Medicine in Jacksonville, Florida. Ammala Cantrell practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ammala Cantrell is 1639159684. The last update date is 2018-04-09.
Ammala Cantrell's current location address is 11512 Lake Mead Ave Unit 302, Jacksonville, Florida. You can contact this provider via phone number 9049003472 and fax number 9045032373. The mailing address for Ammala Cantrell is 11512 Lake Mead Ave Unit 302, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ammala Cantrell |
|---|---|
| Address | 11512 Lake Mead Ave Unit 302, Jacksonville, Florida |
| Phone Number | 9049003472 |
| Fax Number | 9045032373 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1639159684 |
|---|---|
| Provider Enumeration Date | 2006-01-18 |
| Last Updated Date | 2018-04-09 |
Provider Mailing Address Detail
| Address | 11512 Lake Mead Ave Unit 302 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322569685 |
| Phone Number | 9049003472 |
| Fax Number | 9045032373 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | ME84833 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 62087A | FL | FLORIDA BLUE SHIELD | |
| ME84833 | FL | LICENSE NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ammala Cantrell?
The Ammala Cantrell has been issued the NPI (National Provider Identifier) 1639159684 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Ammala Cantrell?
The Ammala Cantrell is physically situated at 11512 Lake Mead Ave Unit 302, in the city of Jacksonville, state of FL, with the postal code 322569685.
What is Ammala Cantrell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ammala Cantrell is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639159684 to Ammala Cantrell?
The Centers for Medicare & Medicaid Services originally issued the 1639159684 to Ammala Cantrell on 2006-01-18.
When was the information pertaining to Ammala Cantrell most recently updated or revised?
The details related to Ammala Cantrell, including its address, specialty, and other relevant information, were last updated or revised on 2018-04-09.