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

Integra Concierge Medicine

Organization Family Medicine Physician · NPI 1992673305

Integra Concierge Medicine provides Family Medicine Physician services in Jacksonville, Florida. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

10175 Fortune Pkwy Unit 204
Jacksonville, FL 32256-6748
Phone: (904) 619-3609
Fax: (904) 900-2225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1992673305
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Busse — Ceo · (904) 619-3609
NPI enumeratedOctober 27, 2025
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026
Mailing address10175 Fortune Pkwy Unit 204, Jacksonville, FL 32256-6748

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