904 Health, Inc
NPI 1184305435 · Infectious Disease Physician · Jacksonville, FL
Provider details
- NPI number
- 1184305435
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- 904 Health Inc
- Organization subpart
- Yes
- Authorized official
- James Tarver, Director(904) 403-2079
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Public Health or Welfare Agency251K00000X
Agencies
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
11 documented practice locations
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
Additional practice locations (10)
- 2102 14th St WBradenton, FL 34205-6351Phone: (904) 900-1513Fax: (904) 575-4944
- 320 Oakfield DrBrandon, FL 33511-5723Phone: (904) 900-1513Fax: (904) 575-4944
- 2420 S Highway 29Cantonment, FL 32533-5808Phone: (904) 900-1513Fax: (904) 575-4944
- 1823 Business Park BlvdDaytona Beach, FL 32114-1230Phone: (904) 900-1513Fax: (904) 575-4944
- 57 Town Ct Ste 215Palm Coast, FL 32164-2425Phone: (904) 900-1513Fax: (904) 575-4944
- 5951 Clark Center Ave Unit BSarasota, FL 34238-2717Phone: (904) 900-1513Fax: (904) 575-4944
- 3574 US 1 S Ste 101-104St Augustine, FL 32086-6466Phone: (904) 900-1513Fax: (904) 575-4944
- 1104 E Fowler Ave Unit 100Tampa, FL 33612-5404
Registry dates
- Enumerated
- 2023-07-28
- Last updated
- 2025-02-04
- Certified
- 2025-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.