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

Cogent Healthcare of Jacksonville, LLC

Organization Internal Medicine Physician · NPI 1861150625

Cogent Healthcare of Jacksonville, LLC is an Internal Medicine Physician in Port Orange, Florida. Registered with an NPI since 2021.

In the registry since
2021
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

1515 Herbert St Ste 210
Port Orange, FL 32129-6105
Phone: (386) 788-8313
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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

Record details

NPI number1861150625
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Fall — Manager · (253) 682-6040
NPI enumeratedNovember 29, 2021
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025
Mailing address5410 Maryland Way Ste 300, Brentwood, TN 37027-5339

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