Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Family Practice Associates of Jacksonville

Organization Family Medicine Physician · NPI 1558353854

Family Practice Associates of Jacksonville provides Family Medicine Physician services in Jacksonville, Florida. Registered with an NPI since 2005.

In the registry since
2005

Practice location Address checks out

6111 Beach Blvd
Jacksonville, FL 32216-2751
Phone: (904) 739-1140
Fax: (904) 722-1674
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1558353854
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Clark — President · (904) 739-1140
NPI enumeratedAugust 22, 2005
Last updated in NPPESAugust 22, 2020
Mailing address6111 Beach Blvd, Jacksonville, FL 32216-2751

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