Organization
ACE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADHUKAR SHARMA (OWNER/PRESIDENT)
(904) 718-3184
Entity
Organization
Contact information
Practice address
665 STATE ROAD 207 STE 101B, ST AUGUSTINE, FL 32084-5939
(904) 342-0816
(904) 342-0553
Mailing address
6428 BEACH BLVD, JACKSONVILLE, FL 32216-2813
(904) 475-2039
(904) 330-0668
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7635710002
NSC
—
Enumeration date
08/23/2017
Last updated
09/15/2025
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