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

Integra Concierge Medicine

Organization Family Medicine Physician · NPI 1992673305

Integra Concierge Medicine is a Family Medicine Physician in Jacksonville, Florida. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

10175 Fortune Pkwy Unit 204
Jacksonville, FL 32256-6748
Phone: (904) 619-3609
Fax: (904) 900-2225
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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

Record details

NPI number1992673305
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Busse — Ceo · (904) 619-3609
NPI enumeratedOctober 27, 2025
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026
Mailing address10175 Fortune Pkwy Unit 204, Jacksonville, FL 32256-6748

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