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

Oceanway Medical Center, Inc

Organization Family Medicine Physician · NPI 1245255199

Oceanway Medical Center, Inc 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?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11513 N Main St
Jacksonville, FL 32218-4002
Phone: (904) 751-6200
Fax: (904) 751-1600
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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 (FL)

Record details

NPI number1245255199
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeanne Micolucci — President · (904) 751-6200
NPI enumeratedJuly 13, 2006
Last updated in NPPESJuly 21, 2022
Mailing address11513 N Main St, Jacksonville, FL 32218-4002

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