Jacksonville Primary Care PA
NPI 1104981398 · Family Medicine Physician · Jacksonville, FL
Jacksonville Primary Care PA is a Family Medicine Physician organization in Jacksonville, FL (NPI 1104981398).
Provider details
- NPI number
- 1104981398
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ciceron Lazo, President(904) 838-7581
- License
- ME0046485 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-27
- Last updated
- 2026-06-03
- Certified
- 2026-06-03
Frequently asked questions
- What is Jacksonville Primary Care PA's NPI number?
- Jacksonville Primary Care PA's National Provider Identifier (NPI) is 1104981398, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacksonville Primary Care PA?
- Jacksonville Primary Care PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jacksonville Primary Care PA located?
- Jacksonville Primary Care PA's practice location on file with NPPES is 8016 Atlantic Blvd, Jacksonville, FL 32211-8751.
- What is Jacksonville Primary Care PA's phone number?
- The practice phone number listed in the NPPES registry for Jacksonville Primary Care PA is (904) 838-7581.
- Who is the authorized official for Jacksonville Primary Care PA?
- The authorized official listed on Jacksonville Primary Care PA's NPPES record is Ciceron Lazo, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacksonville Primary Care PA's NPI active?
- Yes — Jacksonville Primary Care PA's NPI (1104981398) is active in the NPPES registry as of the last update on 2026-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.