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

North Florida Medical Clinic Inc

Organization Internal Medicine Physician · NPI 1639126907

North Florida Medical Clinic Inc is an Internal Medicine Physician in Jacksonville Beach, Florida. Licensed in Florida. Registered with an NPI since 2006.

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

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Practice location Address checks out

1361 13th Ave S Ste 150
Jacksonville Beach, FL 32250-3235
Phone: (904) 242-7177
Fax: (904) 242-7162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME43785 (FL)

Record details

NPI number1639126907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Holthaus Kevin — President · (904) 242-7177
NPI enumeratedMay 30, 2006
Last updated in NPPESJanuary 24, 2012
Mailing addressPo Box 17809, Jacksonville, FL 32245-7809

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