FIRST COAST INFECTIOUS DISEASE CONSULTANTS LLC – Infectious Disease Physician, NPI 1740477843
Infectious Disease Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for FIRST COAST INFECTIOUS DISEASE CONSULTANTS LLC
PO BOX 55009
JACKSONVILLE, FL 322160009
Phone: (904) 398-5614
Fax: (904) 398-5617
Type: Mailing
2122, University Boulevard South, Jacksonville, Duval County, Florida, 32216, United States
JACKSONVILLE, FL 322168937
Phone: (904) 398-5614
Fax: (904) 398-5617
Type: Location
2035 Professional Center Dr Ste B
Orange Park, FL 320734462
Phone: (904) 264-7132
Fax: (904) 264-2609
Type: Location
PO BOX 16488
JACKSONVILLE, FL 322456488
Phone: (904) 398-5614
Fax: (904) 398-5617
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-12-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-07-31 (53 days away).
Enrollment records
2
Earliest due date
2026-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20071204000531 | O | Clinic/Group Practice | FL | TBD |
| O20131210000098 | O | Physician - Infectious Disease | FL | 2026-07-31 |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32216)
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