Patriotmed Of Kansas, P.a.

Specialty details in registry · Jacksonville, FL

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At a glance

3030 Hartley Rd Ste 140, Jacksonville, FL 32257-8210

NPPES record updated Jun 15, 2026. Public records can lag behind changes at a practice.

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Practice location

3030 Hartley Rd Ste 140
Jacksonville, FL 32257-8210

Professional details: NPI, taxonomy & registry record

NPI1124963350

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QR0200X
Enumeration date: Apr 22, 2026
Record updated: Jun 15, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QR0200X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

3030 Hartley Rd Ste 140
Jacksonville, FL 32257-8210

Phone: (904) 475-2365

Mailing address

3030 HARTLEY RD STE 140

JACKSONVILLE, FL 322578210

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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