NPI registry record
Provider & location details
- Registered organization
- <UNAVAIL>
- NPI number
- 1679813935
- Practice address
- 4040 SUNBEAM RD, JACKSONVILLE, FL, 32257-7547
- Telephone
- (904) 619-8011
- Imported into directory
- Oct 31, 2026
The provider reports the same number for telephone and fax.
The provider supplied these details to the public NPPES registry. The import date records when TidyFax obtained the record; it is not a confirmation that the fax line works. A specialty identifies the provider's classification, not the department accepting documents.
Before sending, call the listed office to confirm the fax number and the documents it accepts. Report a correction with this page's address and a public source link; do not include private documents.
Provider listed
Practice location fax
Confirm the correct receiving office before sending.
(904) 619-8011
NPI 1679813935
4040 SUNBEAM RD, JACKSONVILLE, FL, 32257-7547
Listed by the healthcare provider in a public registry. Confirm the current fax number and destination before sending.
Practice location fax reported by the provider to NPPES
Check destination before sending