Organization · Type 2 NPI

Premise Health of Florida Medical PA

Clinic/Center · Jacksonville, FL

NPI number 1407179161 Active

Practice location

7500 Centurion Pkwy Ste 100
Jacksonville, FL 32256-0517

Call (904) 443-1100 Map

Fax (904) 328-5799

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

3 other providers at this address

Other clinic/center providers in Jacksonville

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NPI record

NPI: 1407179161
Entity type: Organization (Type 2)
Issued: Mar 10, 2010
Last updated: Feb 4, 2026
Status: Active

Other names

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Vistakon Health Center · doing business as
Vistakon Health Center · doing business as

Authorized official

Edward William Schwartz
President
(844) 407-7557

Verify this record

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 1407179161

Premise Health of Florida Medical PA's National Provider Identifier is 1407179161, issued on Mar 10, 2010. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Jacksonville, FL. The record was last updated on Feb 4, 2026.