North Florida Medical Clinic Inc
NPI 1639126907 · Internal Medicine Physician · Jacksonville Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
North Florida Medical Clinic Inc is a Internal Medicine Physician organization in Jacksonville Beach, FL (NPI 1639126907).
Provider details
- NPI number
- 1639126907
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Holthaus Kevin, President(904) 242-7177
- License
- ME43785 (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
20 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
- 2006-05-30
- Last updated
- 2012-01-24
Frequently asked questions
- What is North Florida Medical Clinic Inc's NPI number?
- North Florida Medical Clinic Inc's National Provider Identifier (NPI) is 1639126907, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is North Florida Medical Clinic Inc?
- North Florida Medical Clinic Inc is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is North Florida Medical Clinic Inc located?
- North Florida Medical Clinic Inc's practice location on file with NPPES is 1361 13th Ave S Ste 150, Jacksonville Beach, FL 32250-3235.
- What is North Florida Medical Clinic Inc's phone number?
- The practice phone number listed in the NPPES registry for North Florida Medical Clinic Inc is (904) 242-7177.
- Does North Florida Medical Clinic Inc accept Medicare?
- North Florida Medical Clinic Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for North Florida Medical Clinic Inc?
- The authorized official listed on North Florida Medical Clinic Inc's NPPES record is Holthaus Kevin, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is North Florida Medical Clinic Inc's NPI active?
- Yes — North Florida Medical Clinic Inc's NPI (1639126907) is active in the NPPES registry as of the last update on 2012-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.