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

Renu Gautam, MD

Individual provider Family Medicine Physician · NPI 1558744417

Renu Gautam, MD is a Family Practice in Jacksonville, Florida. Qualified in 2015, 11 years ago. Practices with American Current Care PA, a 549-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2015
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.

Additional practice locations (1)

  • 10550 Deerwood Park Blvd Ste 609a, Jacksonville, FL 32256-0596 — (904) 513-3954

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME133283 (FL)

Record details

NPI number1558744417
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 9, 2015
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice American Current Care Pa — 549 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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