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

South Atlantic Retina PLLC

Organization Ophthalmology Physician · NPI 1033092366

South Atlantic Retina PLLC is an Ophthalmology Physician in Jacksonville, Florida. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
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

3627 University Blvd S Ste 605
Jacksonville, FL 32216-7401
Phone: (904) 658-0176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X
Ophthalmology Physician Taxonomy 207W00000X

Record details

NPI number1033092366
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ahmed Elkeeb — Owner · (904) 658-0176
Other names South Atlantic Retina
NPI enumeratedJuly 25, 2025
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026
Mailing address3627 University Blvd S Ste 605, Jacksonville, FL 32216-7401

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