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

Nh Jax

Organization Family Medicine Physician · NPI 1275513871

Nh Jax is a Family Medicine Physician in Jacksonville, Florida. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

2080 Child St
Jacksonville, FL 32214-5005
Phone: (904) 542-7975
Fax: (904) 542-7394
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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 A64120 (CA)

Record details

NPI number1275513871
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raquel Bono — Commanding Officer · (904) 542-7300
NPI enumeratedJanuary 19, 2006
Last updated in NPPESJuly 17, 2008
Mailing address627 Carrack Dr, Saint Marys, GA 31558-2600

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