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

Family Practice Associates of Jacksonville

Organization Family Medicine Physician · NPI 1558353854

Family Practice Associates of Jacksonville is a Family Medicine Physician in Jacksonville, Florida. Registered with an NPI since 2005.

In the registry since
2005

Practice location Address checks out

6111 Beach Blvd
Jacksonville, FL 32216-2751
Phone: (904) 739-1140
Fax: (904) 722-1674
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1558353854
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Clark — President · (904) 739-1140
NPI enumeratedAugust 22, 2005
Last updated in NPPESAugust 22, 2020
Mailing address6111 Beach Blvd, Jacksonville, FL 32216-2751

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