Organization · Type 2 NPI

Florida Infectious Disease Associates PA

Family Nurse Practitioner · Orange Park, FL

NPI number 1124214879 Active

Practice location

1563 Kingsley Ave Ste 106
Orange Park, FL 32073-4503

Call (904) 272-6161 Map

Fax (904) 389-5332

Mailing address

2 Shircliff Way Ste 700
Jacksonville, FL 32204-4759

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

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NPI record

NPI: 1124214879
Entity type: Organization (Type 2)
Issued: Sep 17, 2007
Last updated: Apr 6, 2026
Status: Active

Other names

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Florida Infectious Disease Associates PA · doing business as
Nephrology Associates of Northeast Florida · doing business as

Authorized official

Janet Yates, RMA
Credentials Specialist
(904) 389-5333

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124214879

Florida Infectious Disease Associates PA's National Provider Identifier is 1124214879, issued on Sep 17, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Orange Park, FL. The record was last updated on Apr 6, 2026.