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

St Johns Bluff Family Practice

Organization Family Medicine Physician · NPI 1760695852

St Johns Bluff Family Practice is a Family Medicine Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007

Practice location Address checks out

3690 Saint Johns Bluff Rd S
Jacksonville, FL 32224-2616
Phone: (904) 564-4343
Fax: (904) 224-7051
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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 ME060414 (FL)

Record details

NPI number1760695852
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Merrianne Rust — Office Manager · (904) 564-4343
NPI enumeratedMay 7, 2007
Last updated in NPPESAugust 22, 2020
Mailing address3690 Saint Johns Bluff Rd S, Jacksonville, FL 32224-2616

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