Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beach Medical Specialist PA

Organization Internal Medicine Physician · NPI 1720125479

Beach Medical Specialist PA is an Internal Medicine Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9860 Beach Blvd
Jacksonville, FL 32246-4704
Phone: (904) 200-2978
Fax: (904) 807-9114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME88405 (FL)

Record details

NPI number1720125479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alejandro Dizon — President · (904) 200-2978
NPI enumeratedJanuary 31, 2007
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024
Mailing address9860 Beach Blvd, Jacksonville, FL 32246-4704

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