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

Manuel Gervasio Ruiz Dicks Jr.

Individual provider Family Nurse Practitioner · NPI 1184130916

Manuel Gervasio Ruiz Dicks Jr. is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2017, 9 years ago. Practices with Medical Specialists of Northeast Florida PLLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2017
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Practice location Address checks out

6428 Beach Blvd
Jacksonville, FL 32216-2813
Phone: (904) 475-2039
Fax: (904) 330-0668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3226112 (FL)

Record details

NPI number1184130916
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 15, 2017
Last updated in NPPESSeptember 29, 2023
Certification dateSeptember 29, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Medical Specialists Of Northeast Florida Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Jacksonville