Active NPIIndividual provider

Dr. Nicole M Camacho-Fontanez, MD

Internal Medicine in Jacksonville, Florida

NPI Number1710688254
Practice location
4500 San Pablo RD S, Jacksonville, FL 32224-1865
Fax
—
Last updated
June 24, 2025

Nicole Marie Camacho-Fontanez is an Internal Medicine based in Jacksonville, FL. Nicole Marie Camacho-Fontanez practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for Nicole Marie Camacho-Fontanez is 1710688254 and holds a License No. TRN43485 (FL). The current practice location address for Nicole Marie Camacho-Fontanez is 4500 San Pablo RD S, Jacksonville, FL 32224-1865 and can be reached out via phone at 904-953-2000.

Provider Profile Details

NPI Number
1710688254
Provider Name
Nicole Marie Camacho-Fontanez
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4500 San Pablo RD S, Jacksonville, FL 32224-1865
Phone Number
904-953-2000
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
March 13, 2023
Last Update Date
June 24, 2025
Certification Date
June 24, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
4500 San Pablo RD S
Jacksonville, FL 32224-1865
State
Florida
Zip
32224-1865
Phone Number
904-953-2000
Jacksonville, FL 32224Get directions →

Provider Business Mailing Address Details

Address
4500 San Pablo RD S
Jacksonville, FL 32224-1865
City
Jacksonville
State
FL
Zip
32224-1865
Phone Number
904-953-2000

License Information

License Number
TRN43485
License State
FL
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Nicole M Camacho-Fontanez, MD?

The NPI number of Dr. Nicole M Camacho-Fontanez, MD is 1710688254. It was assigned on March 13, 2023 and is currently active in the NPPES registry.

What is the specialty of Dr. Nicole M Camacho-Fontanez, MD?

Dr. Nicole M Camacho-Fontanez, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in FL under license number TRN43485.

Where does Dr. Nicole M Camacho-Fontanez, MD practice?

The practice location is 4500 San Pablo RD S, Jacksonville, FL 32224-1865. The office can be reached at 904-953-2000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710688254 directly on the NPPES registry website.

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