Jeremy Ron Alquizar
Nurse Practitioner, Primary Care in St Augustine, FL. Individual provider (NPI-1).
NPI number1104777598
StatusActive
Last updated in NPPESFeb 3, 2026
Details
- NPI
- 1104777598
- Entity type
- Individual (NPI-1)
- Name
- Jeremy Ron Alquizar
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 3, 2026
- Certification date
- Feb 3, 2026
- Last updated
- Feb 3, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | APRN11043624 | FL | Yes |
Practice location
1851 Old Moultrie RdSt Augustine, FL 32084-4168
Phone 904-824-8088
Mailing address
7154 Ambrosius WayJacksonville, FL 32258-6541
Phone 904-887-7459
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Primary Care Nurse Practitioner providers in St Augustine, FL
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All 5 Primary Care Nurse Practitioner providers in St Augustine · All 2,630 providers in St Augustine
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