Organization
NOVA MEDICA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMEZ TAHER MD (OWNER)
(904) 472-5678
Entity
Organization
Contact information
Practice address
10460 PHILIPS HWY, JACKSONVILLE, FL 32256
(904) 472-5678
Mailing address
10460 PHILIPS HWY, JACKSONVILLE, FL 32256
(904) 472-5678
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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