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

Individual provider Internal Medicine Physician · NPI 1306877972

Manoj Pulicottil, MD is an Internal Medicine in Jacksonville, Florida. Qualified in 1998, 28 years ago. Practices with St Vincent's Ambulatory Care Inc, a 302-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia and Massachusetts.

Years since qualifying
28
Licensed in
GA, MA
In the registry since
2006
Specialties on file
2
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

4205 Belfort Rd Joe Adams Bldg Ste 2005
Jacksonville, FL 32216-5876
Phone: (904) 398-5123
Fax: (904) 399-1962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 234503 (MA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 055273 (GA)

Record details

NPI number1306877972
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESMay 23, 2014
Mailing address4205 Belfort Rd, Joe Adams Bldg, Suite 2005, Jacksonville, FL 32216-5876

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice St Vincent'S Ambulatory Care Inc — 302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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