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

Individual provider Urology Physician · NPI 1033865480

Eric Alee Vance Qualkenbush, MD is an Urology Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence ME163786 (FL)

Record details

NPI number1033865480
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 24, 2022
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026

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