OrganizationActive
Southside Medical Assoicates LLC
NPI 1154577922 · Internal Medicine Physician · Jaksonville, FL
Provider details
- NPI number
- 1154577922
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ken Abramowittz, Ceo(703) 556-6620
- License
- OS8120 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
4203 Belfort Road
Jaksonville, FL 32216
Phone: (703) 556-6620
Fax: (703) 556-6625
Street-level locationGet directions
Mailing address
1950 Old Gallows Rd. # 220
Vienna, VA 22182
Registry dates
- Enumerated
- 2008-08-13
- Last updated
- 2008-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.