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

Medical Specialists of Northeast Florida PLLC

Organization Internal Medicine Physician · NPI 1285938936

Medical Specialists of Northeast Florida PLLC is an Internal Medicine Physician in Jacksonville, Florida. Works from 2 locations. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6428 Beach Blvd Ste 1A
Jacksonville, FL 32216-2813
Phone: (904) 342-0816
Fax: (904) 342-0553
Show map & directions

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

Additional practice locations (1)

  • 1100 S Ponce De Leon Blvd Ste 3a, St Augustine, FL 32084-6013 — (904) 475-2039

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1285938936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Madhu Sharam — Member · (904) 718-3184
NPI enumeratedJanuary 10, 2011
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025
Mailing address6428 Beach Blvd Ste 1a, Jacksonville, FL 32216-2813

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