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

San Jose Clinic, PA

Organization Specialist · NPI 1083846349

San Jose Clinic, PA is a Specialist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
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

2449 University Blvd W
Jacksonville, FL 32217-2037
Phone: (904) 256-3330
Fax: (904) 256-3332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME75962 (FL)

Record details

NPI number1083846349
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antoine Kassis — Medical Director · (904) 256-3330
NPI enumeratedAugust 19, 2009
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 6, 2025
Mailing address504 Basswood Ct, Jacksonville, FL 32259-4436

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