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

Jeremy Ron Alquizar

Individual provider Primary Care Nurse Practitioner · NPI 1104777598

Jeremy Ron Alquizar is a Nurse Practitioner in St Augustine, Florida. Qualified in 2025, 1 year ago. Practices with James F Connor PA, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2026

Practice location Address checks out

1851 Old Moultrie Rd
St Augustine, FL 32084-4168
Phone: (904) 824-8088
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence APRN11043624 (FL)

Record details

NPI number1104777598
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 3, 2026
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice James F Connor Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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