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

Jacksonville Primary Care PA

Organization Family Medicine Physician · NPI 1104981398

Jacksonville Primary Care PA is a Family Medicine Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8016 Atlantic Blvd
Jacksonville, FL 32211-8751
Phone: (904) 838-7581
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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 · Licence ME0046485 (FL)

Record details

NPI number1104981398
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ciceron Lazo — President · (904) 838-7581
NPI enumeratedDecember 27, 2006
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address8016 Atlantic Blvd, Jacksonville, FL 32211-8751

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