Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
JACKSONVILLE INSTITUTE OF FAMILY CARE, P.A.
Active
Organization
JACKSONVILLE INSTITUTE OF FAMILY CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEBER J ROSA M.D. (PRESIDENT)
(904) 992-0608
Entity
Organization
Contact information
Practice address
4745 SUTTON PARK CT, SUITE 801, JACKSONVILLE, FL 32224-0250
(904) 992-0608
(904) 992-0670
Mailing address
4745 SUTTON PARK CT, SUITE 801, JACKSONVILLE, FL 32224-0250
(904) 992-0608
(904) 992-0670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31346
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/23/2005
Last updated
10/26/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up