OrganizationActive
Oceanway Medical Center, Inc.
NPI 1245255199 · Family Medicine Physician · Jacksonville, FL
Provider details
- NPI number
- 1245255199
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeanne Micolucci, President(904) 751-6200
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
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
11513 N Main St
Jacksonville, FL 32218-4002
Phone: (904) 751-6200
Fax: (904) 751-1600
Street-level locationGet directions
Mailing address
11513 N Main St
Jacksonville, FL 32218-4002
Registry dates
- Enumerated
- 2006-07-13
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.