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

Jacksonville Primary Care PA

Organization Family Medicine Physician · NPI 1104981398

Jacksonville Primary Care PA provides Family Medicine Physician services in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8016 Atlantic Blvd
Jacksonville, FL 32211-8751
Phone: (904) 838-7581
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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 · Licence ME0046485 (FL)

Record details

NPI number1104981398
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ciceron Lazo — President · (904) 838-7581
NPI enumeratedDecember 27, 2006
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address8016 Atlantic Blvd, Jacksonville, FL 32211-8751

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