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

Cantrell Cornerstone Clinic, LLC

Organization Family Medicine Physician · NPI 1770092231

Cantrell Cornerstone Clinic, LLC is a Family Medicine Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11512 Lake Mead Ave Unit 302
Jacksonville, FL 32256-9685
Phone: (904) 900-3472
Fax: (904) 503-2373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME84833 (FL)

Record details

NPI number1770092231
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ammala Cantrell — Owner · (904) 673-5553
NPI enumeratedSeptember 27, 2017
Last updated in NPPESJuly 21, 2022
Mailing address11512 Lake Mead Ave Unit 302, Jacksonville, FL 32256-9685

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