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

San Jose Clinic, PA

Organization Specialist · NPI 1083846349

San Jose Clinic, PA provides Specialist services in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2449 University Blvd W
Jacksonville, FL 32217-2037
Phone: (904) 256-3330
Fax: (904) 256-3332
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME75962 (FL)

Record details

NPI number1083846349
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antoine Kassis — Medical Director · (904) 256-3330
NPI enumeratedAugust 19, 2009
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 6, 2025
Mailing address504 Basswood Ct, Jacksonville, FL 32259-4436

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