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

Ammala Cantrell

Individual provider Family Medicine Physician · NPI 1639159684

Ammala Cantrell is a Family Practice in Jacksonville, Florida. Qualified in 1986, 40 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
40
Licensed in
FL
In the registry since
2006
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Practice location Address checks out

11512 Lake Mead Ave Unit 302
Jacksonville, FL 32256-9685
Phone: (904) 900-3472
Fax: (904) 503-2373
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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 ME84833 (FL)

Record details

NPI number1639159684
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 18, 2006
Last updated in NPPESApril 9, 2018
Mailing addressPo Box 50670, Jacksonville Beach, FL 32240-0670

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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