Beach Medical Specialist PA
NPI 1720125479 · Internal Medicine Physician · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Beach Medical Specialist PA is a Internal Medicine Physician organization in Jacksonville, FL (NPI 1720125479).
Provider details
- NPI number
- 1720125479
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alejandro Dizon, President(904) 200-2978
- License
- ME88405 (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
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
Mailing address
Registry dates
- Enumerated
- 2007-01-31
- Last updated
- 2024-03-06
- Certified
- 2024-03-06
Frequently asked questions
- What is Beach Medical Specialist PA's NPI number?
- Beach Medical Specialist PA's National Provider Identifier (NPI) is 1720125479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beach Medical Specialist PA?
- Beach Medical Specialist PA is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Beach Medical Specialist PA located?
- Beach Medical Specialist PA's practice location on file with NPPES is 9860 Beach Blvd, Jacksonville, FL 32246-4704.
- What is Beach Medical Specialist PA's phone number?
- The practice phone number listed in the NPPES registry for Beach Medical Specialist PA is (904) 200-2978.
- Does Beach Medical Specialist PA accept Medicare?
- Beach Medical Specialist PA 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 Beach Medical Specialist PA?
- The authorized official listed on Beach Medical Specialist PA's NPPES record is Alejandro Dizon, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beach Medical Specialist PA's NPI active?
- Yes — Beach Medical Specialist PA's NPI (1720125479) is active in the NPPES registry as of the last update on 2024-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.