OrganizationActive
Caremax Clinic 711 LLC
NPI 1609359249 · Internal Medicine Physician · Jacksonville, FL
Provider details
- NPI number
- 1609359249
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vipul Mamtora, Director(904) 289-1254
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
2732 Trollie Ln
Jacksonville, FL 32211-3833
Phone: (904) 289-1254
Fax: (904) 212-0036
Street-level locationGet directions
Mailing address
Po Box 600365
Jacksonville, FL 32260-0365
Other names (DBA / former)
- Doing business as
- Valuecare Clinic
Additional practice locations (1)
- 2789 Park StJacksonville, FL 32205-7607Phone: (904) 289-1254Fax: (904) 212-0036
Registry dates
- Enumerated
- 2018-09-10
- Last updated
- 2025-12-15
- Certified
- 2025-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.