Organization
FIRST COAST INFECTIOUS DISEASE CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET ROBERTS (CEO)
(904) 398-5614
Entity
Organization
Contact information
Practice address
2122 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-8937
(904) 398-5614
(904) 398-5617
Mailing address
PO BOX 16488, JACKSONVILLE, FL 32245-6488
(904) 398-5614
(904) 398-5617
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RI0200X
Infectious Disease Physician
ME89939
FL
207RI0200X
Infectious Disease Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115420100
—
FL
Enumeration date
10/02/2007
Last updated
01/13/2026
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