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

Beaches Urology PA

Organization Urology Physician · NPI 1538479290

Beaches Urology PA is an Urology Physician in Jacksonville, Florida. Registered with an NPI since 2010.

In the registry since
2010
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

1370 13th Ave S
Jacksonville, FL 32250-3230
Phone: (904) 421-2119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1538479290
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Williams — Md · (904) 421-2119
NPI enumeratedOctober 15, 2010
Last updated in NPPESOctober 15, 2010
Mailing address3791 Cricket Cove Rd E, Jacksonville, FL 32224-8401

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