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

Jacksonville Internal Medicine

Organization Internal Medicine Physician · NPI 1811066103

Jacksonville Internal Medicine is an Internal Medicine Physician in Jacksonville, Alabama. Licensed in Alabama. Registered with an NPI since 2006.

Licensed in
AL
In the registry since
2006

Practice location Address checks out

2270 Pelham Rd S
Jacksonville, AL 36265-9582
Phone: (256) 435-5499
Fax: (256) 435-6064
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25404 (AL)

Record details

NPI number1811066103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rey Gavino — Owner · (256) 435-5499
NPI enumeratedNovember 8, 2006
Last updated in NPPESJanuary 11, 2012
Mailing addressPo Box 550, Jacksonville, AL 36265

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