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

Jacksonville Medical Group, LLC

Organization Internal Medicine Physician · NPI 1619341039

Jacksonville Medical Group, LLC is an Internal Medicine Physician in Orange Park, Florida. Licensed in ZZ. Registered with an NPI since 2015.

Licensed in
ZZ
In the registry since
2015
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

1409 Kingsley Ave Ste 9G
Orange Park, FL 32073-4537
Phone: (904) 637-0037
Fax: (904) 639-6017
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 ME88018 (ZZ)

Record details

NPI number1619341039
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Saman Soleymani — Owner · (904) 962-7396
NPI enumeratedNovember 23, 2015
Last updated in NPPESJuly 20, 2016
Mailing address396 N Lombardy Loop, Jacksonville, FL 32259-5266

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