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

Oceanway Medical Center, Inc

Organization Family Medicine Physician · NPI 1245255199

Oceanway Medical Center, Inc 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?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11513 N Main St
Jacksonville, FL 32218-4002
Phone: (904) 751-6200
Fax: (904) 751-1600
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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 (FL)

Record details

NPI number1245255199
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeanne Micolucci — President · (904) 751-6200
NPI enumeratedJuly 13, 2006
Last updated in NPPESJuly 21, 2022
Mailing address11513 N Main St, Jacksonville, FL 32218-4002

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