Provider Demographics
NPI:1801407291
Name:PATIENT FOCUS PHYSICIANS ASSOCIATES INC
Entity Type:Organization
Organization Name:PATIENT FOCUS PHYSICIANS ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEMILOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-821-7372
Mailing Address - Street 1:101 CENTURY 21 DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-8115
Mailing Address - Country:US
Mailing Address - Phone:904-821-7372
Mailing Address - Fax:
Practice Address - Street 1:101 CENTURY 21 DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-8115
Practice Address - Country:US
Practice Address - Phone:904-821-7372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-11
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty